| NPI | 1487077145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS LONGBOTTOM Member 509-388-2270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251N0400X Physical Therapist, Neurology (Licence: WA 00006243) |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2015-03-10 |