Stephanie Ann Boutry, DPT

NPI #1922259688 in Issaquah, Washington

Provider Information

NPI Number: 1922259688
Entity Type: Individual
Name: Stephanie Ann Boutry, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Sep 30, 2008
Last Updated: Jan 8, 2015

Practice Location

Address: 5704 E LAKE SAMMAMISH PKWY SE
Address 2: STE. #101
City: Issaquah
State: Washington
ZIP Code: 98029
Phone: (425) 270-3323

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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