NPI | 1336209758 |
---|---|
Entity Type | Organization |
Authorized Contact | SHEILA CAROLYN LALLY Owner 360-697-6547 |
Organization Subpart ? | No |
Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: WA OP00001442) |
Enumeration Date | 2006-12-08 |
Last Update Date | 2013-01-04 |