Individual
KELSEY WHITE IMONDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, PT
Contact information
Practice address
9414 NE FOURTH PLAIN RD, VANCOUVER, WA 98662-6109
(360) 892-5142
Mailing address
9414 NE FOURTH PLAIN ROAD, VANCOUVER, WA 98662
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
60300414
WA
Other
Enumeration date
08/31/2012
Last updated
08/31/2012
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