Individual
LAURIE ODLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT,CHT
Contact information
Practice address
275 SW 160TH ST, STE. 201, BURIEN, WA 98166-3003
(206) 244-4263
(206) 244-4287
Mailing address
275 SW 160TH ST, STE. 201, BURIEN, WA 98166-3003
(206) 244-4263
(206) 244-8703
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT00002561
WA
2251H1200X
Hand Physical Therapist
Primary
PT00002561
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0111231
DEPT. OF LABOR&INDUSTRIES
WA
05
—
8333080
—
WA
01
—
8931809
CRIME VICTUMS
WA
01
—
A009
TRICARE
WA
01
—
OD5372
REGENCE
WA
Enumeration date
04/11/2006
Last updated
12/03/2007
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