Lynn Gannon

NPI 1740671304 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1740671304
Gender Female
Enumeration Date 02/17/2015
Last Updated 02/17/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
19401 40TH AVE W STE 330
LYNNWOOD WA, 98036-5600, US
Phone (425) 670-9987
Fax
Business Location
19401 40TH AVE W STE 330
LYNNWOOD WA, 98036-5600, US
Phone (425) 670-9987
Fax
Toxanomy
Taxonomy Code 225200000X
License State Washington
License Number P160496886
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According to our database, Lynn Gannon NPI is 1740671304, taxonomy code is 225200000X and license number is P160496886, license state is located at Washington. Lynn Gannon physically located at 19401 40th Ave W Ste 330, Lynnwood WA, 98036-5600. NPI Number Lynn Gannon has the Individual type.

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1740671304 NPI number is provided on an as is basis without warranty of any kind. 1740671304 is maintained by the National Plan & Provider Enumeration System. The contents of Lynn Gannon are for informational purposes only.