| NPI | 1326241043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVIAN MARIE MOISE Owner 509-747-5242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P0004X Physical Medicine & Rehabilitation, Spinal Cord Injury Medicine (Licence: WA MD00023674) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2020-08-22 |