| NPI | 1598035289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LURON ANDERSON Owner/Provider 509-380-5825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PT00009869) |
| Enumeration Date | 2012-01-11 |
| Last Update Date | 2012-01-16 |