| NPI | 1073942488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY M COLEMAN Administrator 360-332-8167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00005989) |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2013-11-06 |