| NPI | 1407045552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA K LUND Owner 206-855-0955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WA pt0003258) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2008-02-20 |