| NPI | 1720050958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY BROZIK Business Manager 509-323-1494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 601962730) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2020-08-22 |