Individual
JACQUELINE LANNOYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1521 SW 321ST ST, FEDERAL WAY, WA 98023-5401
(253) 332-7614
Mailing address
1521 SW 321ST ST, FEDERAL WAY, WA 98023-5401
(253) 332-7614
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160356409
WA
Other
Enumeration date
05/01/2015
Last updated
05/01/2015
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