Organization
AEGIS PHYSICAL THERAPY INC. PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEONARD MERLIN GALLOWAY MPT (OWNER)
(509) 895-7449
Entity
Organization
Contact information
Practice address
3901 KERN WAY, SUITE 102, YAKIMA, WA 98902-7804
(509) 895-7449
(509) 895-7452
Mailing address
PO BOX 2721, YAKIMA, WA 98907-2721
(509) 895-7449
(509) 895-7452
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT00010836
WA
Other
Enumeration date
11/19/2007
Last updated
05/06/2009
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