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1043400179
LY TIEU
TUALATIN, OR
NPI
1043400179
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT00010548)
Enumeration Date
2007-07-25
Last Update Date
2021-12-17
Business Address
LY TIEU PT
19185 SW 90TH AVE
TUALATIN, OR 97062-7558
Phone number: 503-885-5360
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Mailing Address
LY TIEU PT
19185 SW 90TH AVE
TUALATIN, OR 97062-7558
Phone number: 503-885-5360
Copy
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