Individual
SUSAN SIMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4015 164TH ST SW, LYNNWOOD, WA 98087-6902
(425) 640-8529
Mailing address
4015 164TH ST SW, LYNNWOOD, WA 98087-6902
(425) 640-8529
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
60214138
WA
Other
Enumeration date
01/14/2016
Last updated
01/14/2016
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