Individual
LAURA DERLETH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
101 W 8TH AVE, SPOKANE, WA 99204-2307
(509) 474-3287
Mailing address
18 W 28TH AVE, SPOKANE, WA 99203-1858
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00009103
WA
Other
Enumeration date
06/12/2006
Last updated
07/08/2007
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