Individual
LESA M BOLTS-KRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
543 WHIDBY ST # A, PORT ANGELES, WA 98362-6547
(360) 582-3900
Mailing address
543 WHIDBY ST # A, PORT ANGELES, WA 98362-6547
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P1 60045627
WA
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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