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Organization

SUNRISE LYMPHEDEMA CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAURIE J HERMAN OTR/L (OCCUPATIONAL THERAPIST)
(509) 469-1769
Entity
Organization

Contact information

Practice address
624 S 18TH AVE, YAKIMA, WA 98902-4210
(509) 469-8903
(509) 452-2444
Mailing address
624 S 18TH AVE, YAKIMA, WA 98902-4210
(509) 469-8903

Taxonomy

Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
OT00004331
WA

Other

Enumeration date
05/13/2008
Last updated
08/31/2011
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