Individual
MRS. KELLY JEAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3330 MONTE VILLA PKWY, BOTHELL, WA 98021-8972
(425) 408-6000
Mailing address
19309 127TH AVE NE, BOTHELL, WA 98011-2502
(206) 316-0658
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00009237
WA
Other
Enumeration date
12/17/2012
Last updated
12/17/2012
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