| NPI | 1164998548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHODA CHAVEZ-NOWLAN Billing Manager, Finance 425-776-0803 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225700000X Massage Therapist |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2023-03-13 |