Loudon Orthosport Pt, LLC

NPI #1134315294 in Moses Lake, Washington

Provider Information

NPI Number: 1134315294
Entity Type: Organization
Organization Name: Loudon Orthosport Pt, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Sep 21, 2007
Last Updated: Sep 21, 2007

Practice Location

Address: 2200 S MAIERS RD
Address 2: SUITE C
City: Moses Lake
State: Washington
ZIP Code: 98837-8818
Phone: (509) 764-7246

Authorized Official

Name: JULIE B LOUDON, PT
Title: OWNER
Phone: (509) 764-7246

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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