| NPI | 1164857595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE PEARSON Credentialing Specialist 206-744-9887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WA 160029308) |
| Enumeration Date | 2013-09-04 |
| Last Update Date | 2013-09-04 |