| NPI | 1306980537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD G. VONBERGEN Owner 360-856-4216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00000529) |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2020-08-22 |