Organization
COLUMBIA BASIN PHYSICAL THERAPY INC. PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALE S. NELSON PT (PRESIDENT)
(509) 754-4510
Entity
Organization
Contact information
Practice address
1075 BASIN ST SW, EPHRATA, WA 98823-2041
(509) 754-4510
(509) 754-2162
Mailing address
1075 BASIN ST SW, EPHRATA, WA 98823-2041
(509) 754-4510
(509) 754-2162
Taxonomy
Speciality
Code
Description
License number
State
273Y00000X
Rehabilitation Hospital Unit
Primary
PT00002721
WA
273Y00000X
Rehabilitation Hospital Unit
—
UT
273Y00000X
Rehabilitation Hospital Unit
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7105174
—
WA
Enumeration date
06/04/2007
Last updated
12/19/2007
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