| NPI | 1114040631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN VENERUSO Chief Operating Officer 360-823-5173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT00004438) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2024-12-17 |