Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | PT00000624 | WA |
N | 2251G0304X | Physical Therapist - Geriatrics | PT00000624 | WA |
NPI | 1023146172 |
---|---|
Provider Name | Lynn Ahlin Hutchinson |
First Address | Bainbridge Island, WA 98110-4930 |
Second Address | Bainbridge Island, WA 98110-4930 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2007 |
Last Update Date | 19/08/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8450819 | (05) | WA |