Individual
LISA MARIE SIMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 NW SCHOOL STREET, STEVENSON, WA 98648-6190
(509) 427-8203
(509) 427-4246
Mailing address
PO BOX 1310, STEVENSON, WA 98648-1310
(509) 427-8203
(509) 427-4246
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/17/2010
Last updated
09/20/2010
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