Individual
IRENE PREPULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
18503 NE 219TH ST, BATTLE GROUND, WA 98604-9282
(360) 687-5666
(360) 666-8346
Mailing address
PO BOX 893, BATTLE GROUND, WA 98604-0893
(360) 687-5666
(360) 666-8346
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0520
OR
225100000X
Physical Therapist
Primary
PT00000946
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7297609
—
WA
Enumeration date
09/26/2005
Last updated
06/14/2016
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