Individual
LISA GORRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 S 43RD ST, RENTON, WA 98055-5714
(425) 656-5516
(425) 656-4028
Mailing address
400 S 43RD ST, RENTON, WA 98055-5714
(425) 656-5516
(425) 656-4028
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60477483
WA
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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