Individual
MRS. CAROLYN S. ROCKHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
201 NE PARK PLAZA DR STE 246, VANCOUVER, WA 98684-5874
(360) 696-1070
(360) 737-0200
Mailing address
2141 SE 53RD AVE, PORTLAND, OR 97215-3913
(503) 830-0026
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4316
OR
Other
Enumeration date
07/07/2005
Last updated
02/26/2009
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