| NPI | 1265522965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK R BERGIN Executive Director 360-854-2866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 00007335) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA 00007567) |
| 225200000X Physical Therapy Assistant | |
| 225X00000X Occupational Therapist (Licence: WA 00002309) | |
| 225X00000X Occupational Therapist (Licence: WA 00002848) | |
| 235Z00000X Speech-Language Pathologist, (Licence: WA 00003218) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-08-22 |