| NPI | 1104830025 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA ANNE NELSON Physical Therapist 509-396-3707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00007072) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2010-06-23 |