Individual
ALICIA DOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 29TH ST NE, PUYALLUP, WA 98372-6774
(253) 840-4400
Mailing address
4160 GLENWILLOW DR, HAMBURG, NY 14075-1305
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305212610
VA
225100000X
Physical Therapist
Primary
PT61033597
WA
Other
Enumeration date
02/18/2019
Last updated
12/30/2021
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