| NPI | 1124039870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEELY J KOWALCHUK Director 425-455-0699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00010137) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2007-12-05 |