MRS. Laurel Andvik Backstrom, P.T.

NPI #1790124311 in Lacey, Washington

Provider Information

NPI Number
1790124311
Entity Type
Individual
Name
MRS. Laurel Andvik Backstrom, P.T.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapist
Credential
P.T.
Enumeration Date
Jun 17, 2013
Last Updated
Jun 17, 2013

Practice Location

Address
1450 NORTHWEST LN SE
Address 2
SUITE B
City
Lacey
ZIP Code
98503-6908
Phone
(360) 456-5154

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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