Organization
FORTY SIX & TWO, LLC
Active
Other names
Indian Trail Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN B STERN DPT (OWNER)
(509) 979-5981
Entity
Organization
Contact information
Practice address
8801 N INDIAN TRAIL RD STE I, SPOKANE, WA 99208-6052
(509) 465-4799
Mailing address
8801 N INDIAN TRAIL RD STE I, SPOKANE, WA 99208-6052
(509) 465-4799
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT00008588
WA
Other
Enumeration date
07/24/2012
Last updated
07/24/2012
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