| NPI | 1104128727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICE N STEVENSON Physician 253-862-5138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WA MD00022286) |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2010-12-02 |