| NPI | 1285282202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALLORY E BERSCHAUER Owner, Sole Member 509-679-0894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2019-10-15 |