| NPI | 1104080373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA HUGHBANKS Owner/Physical Therapist 503-224-1947 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WA 602839600) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2016-03-30 |