| NPI | 1336293315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN A MCNUTT Occupational Therapist 360-398-2772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics |
| Additional Taxonomies | 2251P0200X Physical Therapist Pediatrics |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2024-06-14 |