Individual
ISAIAH LEREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
615 S BAKER ST, TACOMA, WA 98402-2318
(253) 200-0741
(253) 651-7411
Mailing address
7719 64TH AVE E, PUYALLUP, WA 98371-5515
(253) 651-7411
(253) 651-7411
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT61472736
WA
Other
Enumeration date
08/22/2023
Last updated
09/12/2023
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