| NPI | 1154836419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN LOVELACE Physical Therapist 360-303-4679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: CA PT42406) |
| Enumeration Date | 2017-12-08 |
| Last Update Date | 2017-12-08 |