| NPI | 1801961362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT NICHOLAS SICLAIR Owner 509-928-6325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00009025) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |