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Organization
VALLEY PHYSICAL THERAPY
Active
Organization
VALLEY PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID L TUPPER PT (OWNER)
(509) 529-3220
Entity
Organization
Contact information
Practice address
1017 S 2ND AVE STE 1, WALLA WALLA, WA 99362-4183
(509) 529-3220
(509) 522-3886
Mailing address
1017 S 2ND AVE STE 1, WALLA WALLA, WA 99362-4183
(509) 529-3220
(509) 522-3886
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0003096
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650008497
RAILROAD MEDICARE
WA
05
—
7060916
—
WA
Enumeration date
09/21/2010
Last updated
09/21/2010
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