Individual
GWEN E FRALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
4515 MARTIN LUTHER KING JR WAY S., SEATTLE, WA 98108-2174
(206) 320-5325
Mailing address
4515 MARTIN LUTHER KING JR WAY S., SEATTLE, WA 98108-2174
(206) 320-5325
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00002229
WA
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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