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Individual

LINNEA COMSTOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
165 LILLY RD NE, SUITE B, OLYMPIA, WA 98506-5028
(360) 455-8014
(360) 455-8719
Mailing address
165 LILLY RD NE, SUITE B, OLYMPIA, WA 98506-5028
(360) 455-8014
(360) 455-8719

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00003040
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0147012
STATE DEPT OF LABOR & IND
WA
05
833064
WA
01
PT00003040
STATE HEALTH DEPT
WA
Enumeration date
12/07/2005
Last updated
08/05/2022
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