| NPI | 1427539618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN MAYNES Physical Therapist 509-818-0086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA OT60543459) |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2024-04-03 |