Organization
EDGE PHYSICAL THERAPY LLC
Active
Other names
Edge Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA GENEE TIPTON-GERPHEIDE PT (PT/OWNER AND OPERATOR)
(509) 361-3847
Entity
Organization
Contact information
Practice address
920 CAMAS PL, MOSES LAKE, WA 98837-8644
(509) 361-3847
Mailing address
920 CAMAS PL, MOSES LAKE, WA 98837-8644
(509) 361-3847
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
60108038
WA
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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