Individual
LAURIE VANCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2690 MAY ST, HOOD RIVER, OR 97031-9786
(541) 386-2441
(541) 386-5869
Mailing address
551 LONE PINE BLVD, THE DALLES, OR 97058-9403
(541) 296-7202
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4028
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231814
—
OR
Enumeration date
11/22/2006
Last updated
04/20/2016
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