Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | PT00003470 | WA |
NPI | 1336663178 |
---|---|
Provider Name | Ann Addison Zylstra |
First Address | Kirkland, WA 98034-3030 |
Second Address | Kenmore, WA 98028-2835 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/08/2017 |
Last Update Date | 02/08/2017 |