Organization
EDUCATIONAL SERVICE DISTRICT 123
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE MCCULLOUGH (SUPERINTENDENT)
(509) 544-5700
Entity
Organization
Contact information
Practice address
3924 W COURT ST, PASCO, WA 99301-2775
(509) 544-5700
(509) 544-5798
Mailing address
3918 W COURT ST, PASCO, WA 99301-2775
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
09/09/2016
Last updated
06/20/2024
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