| NPI | 1851606586 |
|---|---|
| Doing Business As | LIGHTHOUSE PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | GLORIA MIKAMI Business Manager 509-928-3443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: WA PT 00003614) |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2010-08-18 |