Individual
CARLY LOCHALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3303 SW BOND AVE, PORTLAND, OR 97239-4501
(503) 494-3151
Mailing address
36 W 44TH ST, SUITE 403, NEW YORK, NY 10036-8102
(212) 759-2280
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
62451
OR
Other
Enumeration date
12/10/2013
Last updated
04/01/2020
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