Kristin Lidvall, OTD

NPI #1306273743 in Longview, Washington

Provider Information

NPI Number: 1306273743
Entity Type: Individual
Name: Kristin Lidvall, OTD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: OTD
Enumeration Date: Sep 30, 2013
Last Updated: Sep 30, 2013

Practice Location

Address: 1500 3RD AVE
City: Longview
State: Washington
ZIP Code: 98632-3229
Phone: (360) 423-8800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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