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1629523428
BRYNN ANN BLICKENSTAFF
PUYALLUP, WA
NPI
1629523428
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT60652266)
Enumeration Date
2016-08-22
Last Update Date
2016-08-22
Business Address
-- BRYNN ANN BLICKENSTAFF DPT
8011 112TH STREET CT E
PUYALLUP, WA 98373-7814
Phone number: 253-848-0662
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Mailing Address
-- BRYNN ANN BLICKENSTAFF DPT
9315 GRAVELLY LAKE DR SW SUITE 306
LAKEWOOD, WA 98499-1574
Phone number: 253-581-5200
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