Individual
BRIANNA DESHAI LAKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
11620 97TH LN NE, KIRKLAND, WA 98034-4269
(425) 455-2630
(425) 451-4390
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT015286
GA
225100000X
Physical Therapist
Primary
—
WA
Other
Enumeration date
06/08/2021
Last updated
04/10/2024
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