| NPI | 1316124977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LEANNE DAWES Office Manager 360-856-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WA PT0008276) |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2008-01-25 |