| NPI | 1225348436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN M BROOKE Owner 206-302-7748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WA MD00015202) |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2010-10-21 |