| NPI | 1407043037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG L. STEPHENS Owner/Manager 509-483-0889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00006468) |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2014-05-15 |