Individual
CARLY JANE WATERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4030 ALDERWOOD MALL BLVD, LYNNWOOD, WA 98036-6763
(425) 776-0803
Mailing address
4030 ALDERWOOD MALL BLVD, LYNNWOOD, WA 98036-6763
(425) 776-0803
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
60618043
WA
Other
Enumeration date
06/07/2022
Last updated
06/07/2022
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