Moses Lake Sports Physical Therapy, Ps

NPI #1912022658 in Moses Lake, Washington

Provider Information

NPI Number: 1912022658
Entity Type: Organization
Organization Name: Moses Lake Sports Physical Therapy, Ps
Primary Specialty: Physical Therapist
Enumeration Date: Mar 20, 2007
Last Updated: Apr 30, 2008

Practice Location

Address: 515 N STRATFORD RD
City: Moses Lake
State: Washington
ZIP Code: 98837-1572
Phone: (509) 766-4277

Authorized Official

Name: RANDY C BRUCE, MSPT
Title: PHYSICAL THERAPIST
Phone: (509) 766-4277

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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