| NPI | 1114024395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MERIANNE R JORDAN Owner 253-686-8033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WA PT00007405) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: WA PT00009213) |
| 261QP2000X Clinic/Center, Physical Therapy (Licence: WA PT00003078) | |
| 261QP2000X Clinic/Center, Physical Therapy (Licence: WA PT00009987) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2013-05-20 |