Individual
DARA WATHANAPAISAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT, CLT
Contact information
Practice address
413 LILLY RD NE, OLYMPIA, WA 98506-5133
(360) 493-7535
Mailing address
413 LILLY RD NE, OLYMPIA, WA 98506-5133
(360) 493-7535
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60662954
WA
Other
Enumeration date
01/18/2018
Last updated
01/18/2018
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