Provider First Line Business Practice Location Address:
1603 116TH AVE NE SOUND
Provider Second Line Business Practice Location Address:
NEUROMUSCULAR THERAPY STE 111
Provider Business Practice Location Address City Name:
BELLEVUE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98004
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
425-455-8273
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/17/2007