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Individual

INGRID LAROUCHE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
729 HENDERSON ROAD, HOOD RIVER, OR 97031
(541) 386-2688
Mailing address
PO BOX 964, BINGEN, WA 98605-1664
(509) 521-9621

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5027
OR
225100000X
Physical Therapist
8501
WA

Other

Enumeration date
01/29/2007
Last updated
10/09/2012
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