Individual
LAURA E WORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1 PARK AVE, BROOKINGS, OR 97415-9145
(541) 469-3111
Mailing address
1 PARK AVE, BROOKINGS, OR 97415-9145
(541) 469-3111
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5564
OR
Other
Enumeration date
05/30/2016
Last updated
01/24/2025
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