NPI | 1023449006 |
---|---|
Doing Business As | PACIFIC COMPLEMENTARY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | RICHARD LOUIS FAIOLA President 360-704-2362 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
Additional Taxonomies | 111N00000X Chiropractor (Licence: WA CH00034866) |
208100000X Physical Medicine & Rehabilitation (Licence: WA AC00000244) | |
225700000X Massage Therapist (Licence: WA MA60043686) | |
Enumeration Date | 2013-12-02 |
Last Update Date | 2014-04-01 |