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Organization
MEDICAL CENTER PHYSICAL THERAPY & SPORTS REHAB INC PS
Active
Organization
MEDICAL CENTER PHYSICAL THERAPY & SPORTS REHAB INC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN E DALE PT (OWNER)
(509) 453-3103
Entity
Organization
Contact information
Practice address
307 S 12TH AVE STE 5, YAKIMA, WA 98902-3139
(509) 453-3103
(509) 453-2057
Mailing address
307 S 12TH AVE STE 5, YAKIMA, WA 98902-3139
(509) 453-3103
(509) 453-2057
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00000697
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13762
LABOR & INDUSTRIES
WA
05
—
7037187
—
WA
Enumeration date
07/19/2007
Last updated
11/16/2007
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