| NPI | 1821216466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLEE RENEE HAMMOND Physical Therapis 208-640-1855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WA PT00006435) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-08-22 |