| NPI | 1073386603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONIKA POLYANSKIY Owner 425-999-5023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2023-11-06 |