| NPI | 1306815824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDACE N WATKINS Executive Director 253-471-2727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA LL60121171) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: WA OT00001455) |
| 225100000X Physical Therapist (Licence: WA PT00000523) | |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2013-03-06 |