| NPI | 1740308600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC BURNS Administrator 509-888-3062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics |
| 225X00000X Occupational Therapist | |
| 225XP0200X Occupational Therapist Pediatrics | |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2021-07-14 |