| NPI | 1073892600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L CASEY Physical Therapist 509-521-9080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00008575) |
| Enumeration Date | 2011-08-13 |
| Last Update Date | 2011-08-13 |