Individual
ELIZABETH SUE OLDHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
128 BEACON HILL DR, LONGVIEW, WA 98632-5859
(360) 423-4060
(360) 578-5983
Mailing address
128 BEACON HILL DR, LONGVIEW, WA 98632-5859
(360) 423-4060
(360) 578-5983
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00005201
WA
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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