| NPI | 1023478641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG PENNER Founder 360-354-1115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics |
| 225X00000X Occupational Therapist | |
| 225XP0200X Occupational Therapist Pediatrics | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2016-03-22 |