| NPI | 1174640759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ANDREW EGBERT President 253-216-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WA PT5418) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00005418) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2015-01-02 |