| NPI | 1164561775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT PRANDI Director 360-330-9346 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WA 602410734) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2008-06-19 |