Most Relevant Information
Provider Data
| NPI Number: | 1003008137 |
| Provider Name: | GRACE FREDEEN CO |
| Entity Type: | Individual |
| Taxonomy Code: | 222Z00000X |
| Specialty: | Orthotist |
| License Number: | OI00000178 |
Most Important Dates
| Enumeration Date: | 08/13/2007 |
| Last Updated: | 08/13/2007 |
Provider Practice Location
600 BROADWAY
SUITE 190
SEATTLE
WA
981225395
Practice Location Phone/Fax
| Phone: | 2063234040 |
| Fax: | 2063240943 |
Provider Mailing Location
600 BROADWAY
SUITE 190
SEATTLE
WA
981225395
Provider Mailing Phone/Fax
| Phone: | 2063234040 |
| Fax: | 2063240943 |