Laura Lynn Waliczek DPT

NPI 1750459673 - Physical Therapist - 225100000X

NPI Details
NPI 1750459673
Gender Female
Enumeration Date 11/30/2006
Last Updated 09/14/2010
Entity Type Individual
Active Over 10 years ago
Practice Location
9860 SW HALL BLVD
#A3
TIGARD OR, 97223-8896, US
Phone (503) 902-2123
Fax
Business Location
664 SW RUSTICA TERRACE
PORTLAND OR, 97225, US
Phone (503) 902-2123
Fax
Toxanomy
Taxonomy Code 225100000X
License State Oregon
License Number 4954
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According to our database, Mrs. Laura Lynn Waliczek DPT NPI is 1750459673, taxonomy code is 225100000X and license number is 4954, license state is located at Oregon. Laura Lynn Waliczek DPT physically located at 9860 Sw Hall Blvd, Tigard OR, 97223-8896. NPI Number Laura Lynn Waliczek DPT has the Individual type.

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1750459673 NPI number is provided on an as is basis without warranty of any kind. 1750459673 is maintained by the National Plan & Provider Enumeration System. The contents of Laura Lynn Waliczek DPT are for informational purposes only.