| NPI | 1164580809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN THOMAS DAVIS Treasurer 425-881-1921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251H1200X Physical Therapist, Hand |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |