| NPI | 1477760197 |
|---|---|
| Doing Business As | PROVAIL THERAPEUTIC AND ASSISTIVE TECHNOLOGY CLINIC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL HATZENBELER CEO 206-363-7303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: WA SI00004391) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2018-06-21 |