| NPI | 1023984333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADFORD THOMAS GOMEZ Physical Therapist 360-970-4341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2025-10-14 |
| Last Update Date | 2025-10-14 |