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Organization
PULLMAN SPORTS PHYSICAL THERAPY, INC
Active
Organization
PULLMAN SPORTS PHYSICAL THERAPY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA ROSE CLEVEN (OFFICE MANAGER)
(509) 332-7778
Entity
Organization
Contact information
Practice address
588 SE BISHOP BLVD, SUITE A, PULLMAN, WA 99163-5534
(509) 332-7778
(509) 332-7032
Mailing address
588 SE BISHOP BLVD, SUITE A, PULLMAN, WA 99163-5534
(509) 332-7778
(509) 332-7032
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00003333
WA
Other
Enumeration date
12/28/2006
Last updated
04/12/2012
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