| NPI | 1245405224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAN DAVID EVANS Owner/President 509-484-0095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00002905) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2008-04-29 |