| NPI | 1194037846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW NELSON Owner 509-341-4011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WA PT 00003919) |
| Enumeration Date | 2010-07-10 |
| Last Update Date | 2010-07-10 |