Individual
LEE ANN CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1109 JADWIN AVE, RICHLAND, WA 99352-3434
(509) 946-8497
(509) 946-8767
Mailing address
16083 SW UPPER BOONES FERRY RD, STE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00005078
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497739858
—
WA
05
—
8335754
—
WA
Enumeration date
11/30/2005
Last updated
11/01/2012
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