Individual
ALEC DIVALERIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 SLEATER KINNEY RD SE, LACEY, WA 98503-2500
(360) 456-0111
Mailing address
1864 21ST AVE SE, OLYMPIA, WA 98501-8904
(214) 244-7613
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1376653
TX
Other
Enumeration date
05/19/2023
Last updated
09/11/2024
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