# COLUMBIA BASIN PHYSICAL THERAPY INC. PS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225230980
- **Authorized official:** DALE S. NELSON PT (PRESIDENT)
- **Authorized official phone:** (509) 754-4510

## Contact information

- **Practice address:** 1075 BASIN ST SW, EPHRATA, WA 98823-2041
- **Practice address phone:** (509) 754-4510
- **Practice address fax:** (509) 754-2162
- **Mailing address:** 1075 BASIN ST SW, EPHRATA, WA 98823-2041
- **Mailing address phone:** (509) 754-4510
- **Mailing address fax:** (509) 754-2162

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273Y00000X | Rehabilitation Hospital Unit | PT00002721 | WA | Yes |
| 273Y00000X | Rehabilitation Hospital Unit | — | NULL | — |
| 273Y00000X | Rehabilitation Hospital Unit | — | UT | — |

## Other

- **Enumeration date:** 06/04/2007
- **Last updated:** 12/19/2007
