Individual
MRS. DIANA LYNN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Contact information
Practice address
23327 EAST APPLEWAY, STE 160, LIBERTY LAKE, WA 99019-5038
(509) 891-2258
(509) 891-2094
Mailing address
11481 SW HALL BLVD, STE 201, PORTLAND, OR 97223-8403
(800) 219-8835
(503) 443-1402
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00007834
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275549891
—
WA
Enumeration date
08/01/2006
Last updated
11/03/2010
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