Individual
LISA M RALSTON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
3315 S 23RD ST, SUITE 210, TACOMA, WA 98405-1605
(253) 572-8684
(253) 284-0450
Mailing address
PO BOX 731269, PUYALLUP, WA 98373-0060
(253) 840-2313
(253) 840-6340
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00007662
WA
Other
Enumeration date
09/20/2005
Last updated
07/08/2007
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