LAURA LYNN WALICZEK

TIGARD, OR
NPI1750459673
Former NameLAURA LYNN FESNAK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  4954)
Enumeration Date2006-11-30
Last Update Date2021-12-28
Business Address
Mrs. LAURA LYNN WALICZEK DPT
9860 SW HALL BLVD #A3
TIGARD, OR 97223-8896
Phone number: 503-902-2123
Mailing Address
Mrs. LAURA LYNN WALICZEK DPT
664 SW RUSTICA TERRACE
PORTLAND, OR 97225
Phone number: 503-902-2123
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