| NPI | 1205872280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA SKELLY Senior Biller 425-353-5656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center Developmental Disabilities |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2023-05-23 |