| NPI | 1407189632 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARRETT LAIN MARSHALL President 360-296-6660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: OR md28730) |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2009-09-04 |