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 |