| NPI | 1174945224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TITONATH DITH Owner 206-423-0899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WA PT 00008126) |
| Enumeration Date | 2014-01-09 |
| Last Update Date | 2014-03-19 |