Individual
RAY LOREN HENNINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
939 CAROLINE ST, PORT ANGELES, WA 98362-3909
(360) 417-7315
(360) 452-3531
Mailing address
939 CAROLINE ST, PORT ANGELES, WA 98362-3909
(360) 417-7315
(360) 452-3531
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PT00005369
WA
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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