| NPI | 1457531956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRIE A SCHEUFFELE Clinical Director 360-736-0699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00005068) |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2019-08-21 |