| NPI | 1154574614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIE GUY SANDRY President 360-834-7760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WA 00008543) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2008-11-11 |