| NPI | 1356549174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORAINE LOVEJOY-EVANS President 360-683-6101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 5999) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2008-07-17 |