| NPI | 1407036528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHEL LYNN HANSON Owner 360-738-7550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WA PT000000568) |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2008-04-11 |