| NPI | 1427004407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE A DEPAUL Physical Therapist 360-671-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: WA PT00002094) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2007-10-22 |