Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | PT61142330 | WA |
NPI | 1235709593 |
---|---|
Provider Name | Heather Meunier |
First Address | Seattle, WA 98104-2499 |
Second Address | Seattle, WA 98104-2499 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/06/2021 |
Last Update Date | 29/06/2021 |