Organization
CASCADE ADAPTIVE SPORTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD OLIVAS OTR/L (DIRECTOR)
(509) 668-0211
Entity
Organization
Contact information
Practice address
3215 ALLEN LN, PESHASTIN, WA 98847-9426
(509) 668-0211
Mailing address
PO BOX 752, CASHMERE, WA 98815-0752
(509) 668-0211
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
603046721
WA
Other
Enumeration date
01/11/2011
Last updated
01/11/2011
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