| NPI | 1205864816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY A WALDRON President 425-672-2910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 602 606 543 1 1) |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2020-08-22 |