Individual provider · Type 1 NPI

Eileen Gwendolyn Petrie, CDPT

Student in an Organized Health Care Education/Training Program · Federal Way, WA

NPI number 1316572829 Active

Practice location

30620 Pacific Hwy S Ste 107
Federal Way, WA 98003-4888

Call (253) 941-7555 Map

Fax (253) 941-0652

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XCO60371115 (WA)

Student in an Organized Health Care Education/Training Program: 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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About NPI 1316572829

Eileen Gwendolyn Petrie, CDPT's National Provider Identifier is 1316572829, issued on Mar 4, 2020. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Federal Way, WA. The record was last updated on Mar 4, 2020.