Organization
PHYSICAL THERAPY ASSOCIATES PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DAWN R ERICKSEN (OFFICE MANAGER)
(509) 456-6917
Entity
Organization
Contact information
Practice address
2507 E 27TH AVE, SPOKANE, WA 99223-4908
(509) 456-6917
(509) 456-5902
Mailing address
2507 E 27TH AVE, SPOKANE, WA 99223-4908
(509) 456-6917
(509) 456-5902
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
L0711669
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43500
DLI
—
05
—
7081300
—
WA
Enumeration date
02/05/2007
Last updated
11/30/2012
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