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Organization
RICHARD M KING
Active
Organization
RICHARD M KING
Active
Other names
Grand Coulee Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD M KING P.T. (OWNER)
(509) 633-3260
Entity
Organization
Contact information
Practice address
321 BURDIN BLVD, GRAND COULEE, WA 99133-0680
(509) 633-3260
(509) 633-3212
Mailing address
PO BOX 680, GRAND COULEE, WA 99133-0680
(509) 633-3260
(509) 633-3212
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00003909
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7041320
—
WA
Enumeration date
04/10/2008
Last updated
05/02/2011
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