| NPI | 1588810659 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEREE LYNN DIBIASE Owner 208-667-1988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00006159) |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2024-08-01 |