Individual
KANPAPHA BAIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1351 FOWLER ST, RICHLAND, WA 99352-4714
(509) 946-1654
(509) 943-5652
Mailing address
550 GAGE BLVD STE 101, RICHLAND, WA 99352-9532
(509) 942-3627
(509) 627-2983
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60370179
WA
Other
Enumeration date
08/05/2013
Last updated
04/10/2019
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