Individual
PENNY CAVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1010 S 336TH ST, STE 210, FEDERAL WAY, WA 98003-6385
(253) 835-8091
(253) 835-7102
Mailing address
29835 45TH AVE S, AUBURN, WA 98001-2910
(206) 429-3262
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
60033376
WA
Other
Enumeration date
04/27/2010
Last updated
04/27/2010
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