| NPI | 1306610100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LEE DERHAM Physical Therapist 425-750-9526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251G0304X Physical Therapist, Geriatrics |
| Enumeration Date | 2023-11-13 |
| Last Update Date | 2023-11-13 |