| NPI | 1396636775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY DOORNINK Owner / Sole Member 509-910-6795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2025-07-14 |
| Last Update Date | 2025-07-14 |