| NPI | 1558943035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN DAX GERBER Physical Therapist/Owner 509-818-9989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2021-04-24 |
| Last Update Date | 2021-05-28 |