Individual
LAURA DWIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4833 TUMWATER VALLEY DR SE, TUMWATER, WA 98501-4583
(360) 493-4160
Mailing address
4833 TUMWATER VALLEY DR., TUMWATER, WA 98501
(360) 493-4160
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/17/2012
Last updated
07/17/2012
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