| NPI | 1265585335 |
|---|---|
| Former Legal Business Name | CENTER FOR PHYSICAL AND SPORTS THERAPY, PLLC |
| Entity Type | Organization |
| Authorized Contact | ROBERT GORDON Owner, Partner 509-892-5442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00002244) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2015-06-10 |