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1295209245
FALLON L FREDERICK
SEATTLE, WA
NPI
1295209245
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WA P160900331)
Enumeration Date
2019-01-13
Last Update Date
2019-01-13
Business Address
Mrs. FALLON L FREDERICK PTA
2821 S WALDEN ST
SEATTLE, WA 98144-6830
Phone number: 206-577-6200
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Mailing Address
Mrs. FALLON L FREDERICK PTA
25117 SW PARKWAY AVE STE D
WILSONVILLE, OR 97070-9697
Phone number:
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