Melynda B Elbennane, PTA

NPI #1730397746 in Tukwila, Washington

Provider Information

NPI Number: 1730397746
Entity Type: Individual
Name: Melynda B Elbennane, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: PTA
Enumeration Date: May 21, 2007
Last Updated: Aug 16, 2010

Practice Location

Address: 200 ANDOVER PARK E
Address 2: SUITE 6
City: Tukwila
State: Washington
ZIP Code: 98188-2938
Phone: (206) 575-3182

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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