| NPI | 1588778823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON MELISSA CHARBONNEAU Office Manager 509-327-4867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 601924925) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2022-09-06 |