NPI | 1255786307 |
---|---|
Doing Business As | INNER SPACE STRUCTURAL MEDICINE |
Entity Type | Organization |
Authorized Contact | ALYSON T DUTTON Owner 253-677-8179 |
Organization Subpart ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist |
Enumeration Date | 2016-04-26 |
Last Update Date | 2016-04-26 |