Individual
LUCIE KHADDURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSPT
Contact information
Practice address
3425 ENSIGN RD NE, OLYMPIA, WA 98506-5425
(360) 493-4015
Mailing address
3425 ENSIGN RD NE, OLYMPIA, WA 98506-5425
(360) 493-4015
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00008806
WA
Other
Enumeration date
10/26/2006
Last updated
01/30/2025
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