ELENA SUZANNE WACK

LAKEWOOD, WA
NPI1104241728
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WA  PT60421494)
Enumeration Date2014-02-19
Last Update Date2014-02-19
Business Address
-- ELENA SUZANNE WACK DPT
9514 GRAVELLY LAKE DR SW
LAKEWOOD, WA 98499-1514
Phone number: 253-983-9395
Mailing Address
-- ELENA SUZANNE WACK DPT
9315 GRAVELLY LAKE DR SW SUITE 306
LAKEWOOD, WA 98499-1574
Phone number: 253-581-5200
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