| NPI | 1659627974 |
|---|---|
| Doing Business As | INDIAN TRAIL PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | RYAN B STERN Owner 509-979-5981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: WA PT00008588) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2012-07-24 |