| NPI | 1093016313 |
|---|---|
| Doing Business As | THE VILLAGE AT SULLIVAN TRAIL |
| Entity Type | Organization |
| Authorized Contact | GRANGER COBB President 206-298-2909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2010-11-03 |