Individual
STACEY TORGERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
595 S JEFFERSON ST, COLVILLE, WA 99114-3347
(509) 675-2423
Mailing address
595 S JEFFERSON ST, COLVILLE, WA 99114-3347
(509) 675-2423
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160653166
WA
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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