| NPI | 1235762832 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIEL GIRAUD President 360-259-2445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy |
| Additional Taxonomies | 225100000X Physical Therapist |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2023-01-30 |