Individual
LORI F FALKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
852 COMMERCE AVE, LONGVIEW, WA 98632-2406
(360) 501-3750
Mailing address
PO BOX 3002, LONGVIEW, WA 98632-0302
(360) 501-3750
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
3023
AZ
225100000X
Physical Therapist
Primary
PT60074918
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0248516
LABOR & INDUSTRIES
WA
05
—
500612011
—
OR
01
—
650026167
RAILROAD MEDICARE
AZ
05
—
748329
—
AZ
05
—
8542243
—
WA
01
—
P00726422
RAILROAD MEDICARE
WA
Enumeration date
11/25/2005
Last updated
04/28/2010
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