| NPI | 1215020623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA HOLLINGBERY Manageing Partner 360-923-5323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 602271290) |
| Enumeration Date | 2006-09-30 |
| Last Update Date | 2020-08-22 |