| NPI | 1336343789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CORY BLICKENSTAFF Manager 360-600-2272 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic (Licence: WA PT00009330) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2008-04-01 |