Individual
LISA M. WELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4411 POINT FOSDICK DR NW STE 101, GIG HARBOR, WA 98335-1703
(253) 851-7472
(253) 851-7473
Mailing address
4411 POINT FOSDICK DR NW STE 101, GIG HARBOR, WA 98335-1703
(253) 851-7472
(253) 851-7473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00010014
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
205701
L&I
WA
05
—
8444960
—
WA
Enumeration date
01/05/2007
Last updated
11/05/2008
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