Organization
BRUCE HARLOW WHITESIDE
Active
Other names
ORTHOPEDIC PHYSICAL THERAPY
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE HARLOW WHITESIDE PT (OWNER)
(509) 457-0202
Entity
Organization
Contact information
Practice address
3909 CASTLEVALE RD, SUITE 100, YAKIMA, WA 98902-7800
(509) 457-0202
(509) 457-0404
Mailing address
3909 CASTLEVALE RD, SUITE 100, YAKIMA, WA 98902-7800
(509) 457-0202
(509) 457-0404
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
601496566
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7059157
—
WA
Enumeration date
01/30/2007
Last updated
06/17/2008
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