NPI | 1275835290 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURA CANTRELL Director Of Outpatient 360-901-8111 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 225X00000X Occupational Therapist |
235Z00000X Speech-Language Pathologist | |
Enumeration Date | 2010-11-23 |
Last Update Date | 2013-01-02 |