| NPI | 1932243425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY M OTT Office Manager 509-444-5678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2009-01-02 |