Doctor Name: | MRS. LORI CHRISTINE VAN DUSEN |
NPI Number: | 1649287582 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | PT00009546 |
Business Practice Address: | 3801 5th St. Se Suite 220 Puyallup, WA - 98374 |
Business Phone Number: | 2534454258 |
Business Fax Number: | 2534454724 |
Mailing Address: | 11711 Ne 12th Street, Suite 3a BELLEVUE |
State: | WA |
Postal Code: | 98005 |
Phone Number: | 4254509474 |
Fax Number: | 4256359340 |
NPI Enumeration Date: | 08/02/2006 |
NPI Last Update Date: | 06/25/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT00009546 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |