Organization
HOLLINGBERY PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA HOLLINGBERY PT (MANAGEING PARTNER)
(360) 923-5323
Entity
Organization
Contact information
Practice address
669 WOODLAND SQUARE LOOP SE, SUITE C, LACEY, WA 98503-1038
(360) 923-5323
(360) 923-5531
Mailing address
669 WOODLAND SQUARE LOOP SE, SUITE C, LACEY, WA 98503-1038
(360) 923-5323
(360) 923-5531
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0166363
LABOR & INDUSTRY NUMBER
WA
05
—
7117864
—
WA
Enumeration date
09/30/2006
Last updated
08/22/2020
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