| NPI | 1114040631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI COLLINS Medical Services Coordinator 360-892-5142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT00004438) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2020-08-22 |