Individual
MRS. LAURA NAKATA VANNUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
840 SE BISHOP BLVD, SUITE 200, PULLMAN, WA 99163-5502
(509) 338-9204
(509) 338-9206
Mailing address
840 SE BISHOP BLVD, SUITE 200, PULLMAN, WA 99163-5502
(509) 338-9204
(509) 338-9206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00005587
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0195910
DEPT LABOR & INDUSTRY
WA
01
—
3523VA
ASURIS NORTHWEST
—
05
—
8421851
—
WA
Enumeration date
07/17/2006
Last updated
07/09/2007
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