| NPI | 1821080987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN LAWRENCE BUTTS Owner Director 509-966-8981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 600-454-078) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA 600-454-078) |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2011-12-30 |