| NPI | 1407045578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLY TISETH Clinic Manager 425-774-8758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: WA PT00009950) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2007-10-15 |