| NPI | 1760816037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT E. GROSSE Owner 509-293-2276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: ID M-11628) |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2013-08-22 |