| NPI | 1336200757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA L NOACK Business Manager 509-624-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00002796) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2021-04-23 |