| NPI | 1336506823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER RAINEY-YATES Owner 360-597-4048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics (Licence: WA PT-60135582) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: WA OT-00003758) |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2023-03-01 |