Individual
MS. LAURIE D. CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14619 PURDY DR NW, GIG HARBOR, WA 98332-8708
(253) 278-7367
Mailing address
PO BOX 596, WAUNA, WA 98395-0596
(253) 278-7367
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA00017290
WA
Other
Enumeration date
04/16/2007
Last updated
07/08/2007
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