Individual
LAUREN GAEL KOLB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
201 NE PARK PLAZA DR STE 246, VANCOUVER, WA 98684-5874
(360) 696-0588
Mailing address
201 NE PARK PLAZA DR STE 246, VANCOUVER, WA 98684-5874
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
OC00001177
WA
Other
Enumeration date
06/06/2007
Last updated
07/08/2007
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