| NPI | 1457378176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA SPOONER HANSON Owner 206-855-0955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00008584) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-08-22 |