Tri-state S.p.o.r.t. Physical Therapy Clinic

NPI 1073697512 - Clinic/Center - 261QP2000X

NPI Details
NPI 1073697512
Enumeration Date 10/24/2006
Last Updated 11/20/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name WILLIAM A WILLIAM
Position OWNER/PHYSICAL THERAPIST
Phone (509) 758-9404
Fax (509) 758-8267
Practice Location
1119 HIGHLAND AVE
STE 2
CLARKSTON WA, 99403-2836, US
Phone (509) 758-9404
Fax (509) 758-8267
Business Location
328 WARNER DR
STE 8
LEWISTON ID, 83501-4441, US
Phone (208) 746-7573
Fax (208) 746-4519
Toxanomy
Taxonomy Code 261QP2000X
License State
License Number
Remove 1073697512 NPI Number
 

According to our database, Tri-state S.p.o.r.t. Physical Therapy Clinic NPI is 1073697512, taxonomy code is 261QP2000X Tri-state S.p.o.r.t. Physical Therapy Clinic physically located at 1119 Highland Ave, Clarkston WA, 99403-2836. NPI Number 1033115704 has the healthcare provider type.

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1073697512 NPI number is provided on an as is basis without warranty of any kind. 1073697512 is maintained by the National Plan & Provider Enumeration System. The contents of Tri-state S.p.o.r.t. Physical Therapy Clinic are for informational purposes only.