NPI | 1417299959 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURA CANTRELL Director Of Outpatient 360-901-8111 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 225X00000X Occupational Therapist |
235Z00000X Speech-Language Pathologist | |
Enumeration Date | 2013-03-22 |
Last Update Date | 2013-03-22 |