Individual
IAN WADE HOCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
340 S PARK ST, WALLA WALLA, WA 99362-3249
(509) 897-2100
Mailing address
401 W POPLAR ST, WALLA WALLA, WA 99362-2846
(509) 897-2100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
04/12/2019
Last updated
04/12/2019
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