| NPI | 1114026648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA VALLON President/Owner 425-827-5877 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: WA OT00000695) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2008-02-21 |