| NPI | 1356761647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER YOUNG LEE Owner 253-888-0595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WA 20-14-101736-00-BL) |
| Enumeration Date | 2014-04-24 |
| Last Update Date | 2014-04-25 |