Tahoma Physical Therapy Pllc
NPI #1093528879 in Olympia, Washington
Provider Information
- NPI Number
- 1093528879
- Entity Type
- Organization
- Organization Name
- Tahoma Physical Therapy Pllc
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Jan 28, 2025
- Last Updated
- Jan 28, 2025
Practice Location
- Address
- 1802 BLACK LAKE BLVD SW UNIT 104
- City
- Olympia
- State
- Washington
- ZIP Code
- 98512-5665
- Phone
- (530) 386-2452
Authorized Official
- Name
- LESLIE BLAKE NOVOA, PT, DPT, OCS, CMPT
- Title
- OWNER/PHYSICAL THERAPIST
- Phone
- (530) 386-2452
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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