NPI | 1245214543 |
---|---|
Doing Business As | FOUR SEASONS PHYSICAL THERAPY |
Entity Type | Organization |
Authorized Contact | JERRY MICHAEL JOHNSON Administrative Director 509-327-1578 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WA 601871376) |
Enumeration Date | 2005-12-01 |
Last Update Date | 2012-12-31 |