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Julianne Clark

Physical Therapist in Lacey, WA. Individual provider (NPI-1).

NPI number1952154205
StatusActive
Last updated in NPPESApr 8, 2024

Details

NPI
1952154205
Entity type
Individual (NPI-1)
Name
Julianne Clark
Sex
Female
Sole proprietor
No
Enumeration date
Apr 8, 2024
Certification date
Apr 8, 2024
Last updated
Apr 8, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT00008571WAYes

Practice location

4200 6th Ave Se
Suite 201
Lacey, WA 98503-1042

Phone 360-459-8311

Mailing address

4200 6th Ave Se
Suite 201
Lacey, WA 98503-1042

Phone 360-459-8311

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