| NPI | 1285804617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY CHAN O PT Ometric Physician 360-254-5855 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: WA 601840864) |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2022-06-11 |