| NPI | 1912022658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY C BRUCE Physical Therapist 509-766-4277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00005408) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2008-04-30 |