| NPI | 1700062890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWNITTA DIANE SCHELL Accounts/Credentialing Manager 509-325-1977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00006117) |
| Enumeration Date | 2008-01-18 |
| Last Update Date | 2008-01-21 |