Individual
ELLINOR PETRI SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4630 200TH ST SW STE D, LYNNWOOD, WA 98036-6608
(425) 778-2325
Mailing address
4436 144TH AVE SE, BELLEVUE, WA 98006-2323
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00008789
WA
Other
Enumeration date
12/14/2006
Last updated
06/17/2021
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