Individual
MRS. ELIDA GOLOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1150 W FAIRVIEW ST, COLFAX, WA 99111-9580
(509) 397-4603
Mailing address
PO BOX 357, E. 220 MOHR ST, PALOUSE, WA 99161-0357
(509) 878-1495
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PT00003108
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
PHYSICAL THERAPY
WA
01
—
PT00003108
PHYSIACL THERAPY
WA
Enumeration date
05/26/2008
Last updated
05/26/2008
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