| NPI | 1619099728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH LYNN ROMINE Owner 509-220-7871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT5463) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: WA PT2702) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2012-02-08 |