Individual
MS. LOURDES M HERRERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.P.T.
Contact information
Practice address
14411 NE 20TH AVE STE 101, VANCOUVER, WA 98686-6432
(360) 574-9293
(360) 574-9283
Mailing address
1405 SE 164TH AVE STE 102, VANCOUVER, WA 98683-9644
(360) 256-4425
(360) 254-1844
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
PT00006874
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0205240
WA DEPT OF LABOR & INDUST
WA
05
—
8436891
—
WA
01
—
8941150
WA DEPT OF L&I CRIME VICT
WA
Enumeration date
08/16/2006
Last updated
07/17/2014
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