| NPI | 1194943381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES C FULLER President 253-839-3403 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 602023026) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2014-06-03 |