Individual
MRS. LAUREL ANDVIK BACKSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1450 NORTHWEST LN SE, SUITE B, LACEY, WA 98503-6908
(360) 456-5154
(360) 456-0844
Mailing address
1450 NORTHWEST LN SE, SUITE B, LACEY, WA 98503-6908
(360) 456-5154
(360) 456-0844
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0000912
WA
Other
Enumeration date
06/17/2013
Last updated
06/17/2013
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