| NPI | 1063527497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK R DUTTON Owner/PT 360-275-6612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00007051) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA OT00002504) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2017-08-16 |