| NPI | 1093553190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA RYBURN Revenue Cycle & Credentialing Mngr 360-588-4145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2024-07-15 |
| Last Update Date | 2024-08-22 |