Individual
LORI HEGGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4720 NE 62ND AVE, VANCOUVER, WA 98661-2447
(503) 341-1889
Mailing address
4720 NE 62ND AVE, VANCOUVER, WA 98661-2447
(503) 341-1889
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
09257
OR
225200000X
Physical Therapy Assistant
Primary
P160570105
WA
Other
Enumeration date
04/21/2016
Last updated
04/21/2016
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