Individual
MRS. LANA DIANE ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
801 NORTH MONTESANO STREET, SUITE 300, WESTPORT, WA 98595
(360) 268-0725
(360) 268-0754
Mailing address
P.O. BOX 304, ABERDEEN, WA 98520
(360) 268-0725
(360) 268-0754
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160156048
WA
Other
Enumeration date
08/19/2013
Last updated
08/19/2013
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