| NPI | 1215142930 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JOSEPH R. ZYGAR Direct Owner Of 100 Percent 360-426-5903 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WA PT00002305) | 
| Enumeration Date | 2007-05-14 | 
| Last Update Date | 2020-08-22 |