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1104001452
STACEY A ELLINGSON
BOTHELL, WA
NPI
1104001452
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Former Name
STACEY A SCHWENK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT00010820)
Enumeration Date
2008-01-07
Last Update Date
2018-04-04
Business Address
STACEY A ELLINGSON PT
12900 NE 180TH ST STE 110
BOTHELL, WA 98011-5773
Phone number: 425-483-4270
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Mailing Address
STACEY A ELLINGSON PT
PO BOX 2170
SUMNER, WA 98390-0480
Phone number: 253-840-2313
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