Individual
EILEEN L ROCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
145 E JEWETT BLVD, SUITE #301, WHITE SALMON, WA 98672
(541) 490-9958
Mailing address
PO BOX 561, LYLE, WA 98635-0012
(541) 490-9958
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
11917
OR
172M00000X
Mechanotherapist
Primary
MA 00020982
WA
Other
Enumeration date
10/29/2010
Last updated
10/29/2010
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