Individual
LAURA M OPSTEDAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
21 NE ROMANCE HILL RD STE 101, BELFAIR, WA 98528
(360) 275-6612
(360) 275-6658
Mailing address
9840 PRAIRIE RD, MANHATTAN, MT 59741-8635
(406) 640-2024
(406) 258-0580
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT00008528
WA
2251X0800X
Orthopedic Physical Therapist
Primary
4856
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
228242
L&I
WA
01
—
7563OP
REGENCE
WA
01
—
8369225
CHPW
WA
01
—
8946319
L&I CRIME
WA
Enumeration date
11/21/2006
Last updated
08/09/2018
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