Individual
DANIELLE LUIZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2 S 56TH PL STE 100, RIDGEFIELD, WA 98642-3426
(360) 887-7147
Mailing address
2 S 56TH PL STE 100, RIDGEFIELD, WA 98642-3426
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
WA
Other
Enumeration date
06/05/2024
Last updated
06/05/2024
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