| NPI | 1811151277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER KAY LOLLAR Office Manager 509-735-7433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00003344) |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2022-04-04 |