Individual
LAURIE ANN BURKHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
3130 SYLVAN DR W, UNIVERSITY PLACE, WA 98466
(253) 565-3450
Mailing address
3130 SYLVAN DR W, UNIVERSITY PLACE, WA 98466
(253) 565-3450
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00007058
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
108997
L&I NUMBER
WA
01
—
PO6759
REGENCE
WA
Enumeration date
03/05/2007
Last updated
07/08/2007
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