| NPI | 1902296858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUNA DENISE BURCHETT Owner 509-413-1630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 602808055) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA 602808055) |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2015-01-30 |