| NPI | 1396096731 |
|---|---|
| Doing Business As | G2 SPORTS THERAPY |
| Entity Type | Organization |
| Authorized Contact | LANCE RANDALL RUNJE President 425-503-0830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2012-09-25 |