Individual
LARRY EUGENE HOMMEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.P.
Contact information
Practice address
2705 LOCUST AVE W, UNIVERSITY PLACE, WA 98466-3408
(253) 720-8084
Mailing address
5401 BRISTONWOOD DR W, UNIVERSITY PLACE, WA 98467-1321
(253) 720-8084
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
15618
OR
172M00000X
Mechanotherapist
Primary
MA60195852
WA
Other
Enumeration date
10/24/2008
Last updated
10/04/2011
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