Individual
DIANA HOLLINGBERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
669 WOODLAND SQUARE LOOP SE, SUITE C, LACEY, WA 98503-1038
(360) 923-5323
(360) 923-5531
Mailing address
669 WOODLAND SQUARE LOOP SE, SUITE C, LACEY, WA 98503-1038
(360) 923-5323
(360) 923-5531
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00002219
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0168498
LABOR & INDUSTRY NUMBER
WA
05
—
8141707
—
WA
Enumeration date
09/30/2006
Last updated
07/09/2007
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