| NPI | 1194707216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE BRENDA LEW Clinic Office Supervisor 425-348-1259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2007-10-22 |