Individual
MRS. LORI LYNN SECREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
8305 133RD ST E, PUYALLUP, WA 98373-2593
(253) 840-1269
Mailing address
8305 133RD ST E, PUYALLUP, WA 98373-2593
(253) 840-1269
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
OT00002887
WA
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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