Individual
LISA DIANE SONNEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
411 HOSPITAL WAY, BREWSTER, WA 98812
(509) 689-4301
Mailing address
PO BOX 769, BREWSTER, WA 98812-0769
(509) 689-4301
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00003294
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0206566
DEPT. OF LABOR AND INDUST
WA
05
—
8374126
—
WA
Enumeration date
11/24/2006
Last updated
07/08/2007
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