| NPI | 1063911725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LYNN HAFNER Owner 425-654-2575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: WA 604203164) |
| Enumeration Date | 2018-02-08 |
| Last Update Date | 2018-03-07 |