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Eileen Gwendolyn Petrie, CDPT
Student in an Organized Health Care Education/Training Program in Federal Way, Washington
NPI 1316572829

Eileen Gwendolyn Petrie is a Student in an Organized Health Care Education/Training Program based in Federal Way, WA. Eileen Gwendolyn Petrie practices in Federal Way, WA and has the professional credentials of CDPT. The NPI Number for Eileen Gwendolyn Petrie is 1316572829 and holds a License No. CO60371115 (Washington).

The current practice location address for Eileen Gwendolyn Petrie is 30620 Pacific Hwy S Ste 107, Federal Way, WA and can be reached out via phone at 253-941-7555 and via fax at 253-941-0652.

Location: 30620 Pacific Hwy S Ste 107, Federal Way, WA, 98003-4888
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316572829
Provider Name
Eileen Gwendolyn Petrie
Credential
CDPT
Provider Entity Type
Individual
Gender
Female
Address
30620 Pacific Hwy S Ste 107, Federal Way, WA, 98003-4888
Phone Number
253-941-7555
Fax Number
253-941-0652
Provider Enumeration Date
03/04/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
30620 Pacific Hwy S Ste 107
City
Federal Way
State
Washington
Zip
98003-4888
Phone Number
253-941-7555
Fax Number
253-941-0652
person
Provider Business Mailing Address Details
Address
30620 Pacific Hwy S Ste 107
City
Federal Way
State
Washington
Zip
98003-4888
Phone Number
253-941-7555
Fax Number
253-941-0652
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
CO60371115 (Washington)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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