Individual
LORI ODAGIRI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
214 W MAIN, PUYALLUP, WA 98371-5328
(253) 841-8700
Mailing address
214 W MAIN STREET, PUYALLUP, WA 98371-5328
(253) 841-8700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00003841
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT00003841
WASHINGTON STATE HEALTH DEPARTMENT
WA
Enumeration date
02/26/2015
Last updated
02/26/2015
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