| NPI | 1356415756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY L WHITE Member 206-367-5853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-08-22 |