| NPI | 1043457443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA A. LUSK Owner 206-428-1964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XG0600X Occupational Therapist, Gerontology (Licence: WA OT00002596) |
| Additional Taxonomies | 2251G0304X Physical Therapist, Geriatrics (Licence: WA PT00009689) |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2010-07-01 |