| NPI | 1831191832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP GEORGE DRUSSEL Owner 509-783-3444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00003811) |
| Enumeration Date | 2005-08-10 |
| Last Update Date | 2020-08-22 |