Individual
STEPHANIE RENEE HJORTEDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8750 TALLON LANE NE., LACEY, WA 98516
(360) 456-1072
Mailing address
8750 TALLON LANE NE., HAWKS PRAIRIE PHYSICAL THERAPY, LACEY, WA 98516
(360) 456-1072
(360) 459-9954
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A160341061
WA
Other
Enumeration date
02/05/2014
Last updated
02/05/2014
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