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Individual

AMY M LENTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00007407
WA
2251X0800X
Orthopedic Physical Therapist
PT00007407
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2127684
WA
01
356736
WA LABOR & INDUSTRIES
WA
Enumeration date
03/19/2007
Last updated
02/10/2020
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