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Individual

DR. ANDREA ENNIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT, DPT

Contact information

Practice address
9801 FRONTIER AVE SE, SNOQUALMIE, WA 98065-5200
(425) 831-2300
Mailing address
3387 PLEASANT ST, BERRIEN SPRINGS, MI 49103-9519

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
64595
OR
225100000X
Physical Therapist
Primary
PT61374948
WA

Other

Enumeration date
07/25/2022
Last updated
08/01/2024
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