LAUREL ANDVIK BACKSTROM

LACEY, WA
NPI1790124311
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WA  PT0000912)
Enumeration Date2013-06-17
Last Update Date2013-06-17
Business Address
Mrs. LAUREL ANDVIK BACKSTROM P.T.
1450 NORTHWEST LN SE SUITE B
LACEY, WA 98503-6908
Phone number: 360-456-5154
Mailing Address
Mrs. LAUREL ANDVIK BACKSTROM P.T.
1450 NORTHWEST LN SE SUITE B
LACEY, WA 98503-6908
Phone number: 360-456-5154