Individual
LORI JEANNE WATERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2612 YELM HWY SE STE 203, OLYMPIA, WA 98501-4826
(360) 507-8146
(360) 839-2852
Mailing address
2612 YELM HWY SE, OLYMPIA, WA 98501-4826
(360) 507-8146
(360) 839-2852
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00010279
WA
Other
Enumeration date
10/19/2009
Last updated
10/26/2022
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