| NPI | 1407200801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY ANN CLANCY Owner 206-706-0063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WA 60240376) |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2016-04-21 |