TRACY L PROVOST

SEATTLE, WA
NPI1083748529
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WA  PT00010389)
Enumeration Date2007-03-15
Last Update Date2007-07-08
Business Address
TRACY L PROVOST PT
1100 9TH AVE
SEATTLE, WA 98101-2756
Phone number: 206-223-6600
Mailing Address
TRACY L PROVOST PT
1100 OLIVE WAY MS M4 PA
SEATTLE, WA 98101-1873
Phone number: 206-515-5811
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