Individual
MS. LENORA MARIE WAELTI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1620 SE SUMMIT CT, PULLMAN, WA 99163-5519
(509) 334-4069
Mailing address
730 SE DERBY ST, PULLMAN, WA 99163-2402
(509) 334-4069
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT-1745
ID
225100000X
Physical Therapist
Primary
PT00007527
WA
Other
Enumeration date
04/11/2006
Last updated
07/08/2007
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