Organization
LOUDON ORTHOSPORT PT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE B LOUDON PT (OWNER)
(509) 764-7246
Entity
Organization
Contact information
Practice address
2200 S MAIERS RD, SUITE C, MOSES LAKE, WA 98837-8818
(509) 764-7246
Mailing address
2200 S MAIERS RD, SUITE C, MOSES LAKE, WA 98837-8818
(509) 764-7246
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00007801
WA
Other
Enumeration date
09/21/2007
Last updated
09/21/2007
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