| NPI | 1194195461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREN F MOTT Owner/Provider 253-446-6507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT6891) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2019-11-22 |