Organization
LAKE CITY PHYSICAL THERAPY P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEREE LYNN DIBIASE (OWNER)
(208) 667-1988
Entity
Organization
Contact information
Practice address
3009 S GRAND BLVD STE 109, SPOKANE, WA 99203-2559
(509) 868-0849
(509) 868-0893
Mailing address
PO BOX 1180, HAYDEN, ID 83835-1180
(208) 762-2100
(208) 762-2101
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00006159
WA
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
08/08/2008
Last updated
04/14/2026
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