| NPI | 1891096194 |
|---|---|
| Doing Business As | VALLEY KIDS THERAPY |
| Entity Type | Organization |
| Authorized Contact | JENNA ANNE LISENBY Owner/ PT 360-336-3432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00007768) |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2020-12-14 |