| NPI | 1396957817 |
|---|---|
| Doing Business As | PACIFIC NORTHWEST PEDIATRIC THERAPY |
| Entity Type | Organization |
| Authorized Contact | GREGORY LEE WHITE Member 206-367-5853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2020-08-22 |