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Organization

TOPPENISH PHYSICAL THERAPY REHABILITATION CENTER, INC., P.S.

Active
Other names
Toppenish Physical Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
DALE EUGENE FUNK P.T. (PRESIDENT)
(509) 865-3141
Entity
Organization

Contact information

Practice address
501 W 4TH AVE, TOPPENISH, WA 98948-1615
(509) 865-3141
(509) 865-7388
Mailing address
501 W 4TH AVE, TOPPENISH, WA 98948-1615
(509) 865-3141
(509) 865-7388

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0178563
LABOR & IND. GROUP #
WA
01
2400
GROUP HEALTH GROUP #
WA
05
7123979
WA
Enumeration date
01/19/2007
Last updated
08/22/2020
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