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Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Geriatrics

Provider NPI: 1114033487

Provider Information:
Gender: F
Not Sole Proprietor

Practice Location:
7101 NE 137TH AVE  VANCOUVER, WA 98682-4933 US
Tel: 360-944-4994  Fax: --

Business Mailing Address:
7101 NE 137TH AVE.  VANCOUVER, WA 98682 US
Tel: 360-944-4994  Fax: --

NPI Information:
NPI: 1114033487
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
N2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 2251G0304X





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