| NPI | 1083994958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE S. RAJ Director 360-200-5826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine |
| Enumeration Date | 2011-08-24 |
| Last Update Date | 2011-08-24 |