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Organization
TAHOMA PHYSICAL THERAPY PLLC
Active
Organization
TAHOMA PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE BLAKE NOVOA PT, DPT, OCS, CMPT (OWNER/PHYSICAL THERAPIST)
(530) 386-2452
Entity
Organization
Contact information
Practice address
1802 BLACK LAKE BLVD SW UNIT 104, OLYMPIA, WA 98512-5665
(530) 386-2452
Mailing address
1802 BLACK LAKE BLVD SW UNIT 104, OLYMPIA, WA 98512-5665
(530) 386-2452
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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