| NPI | 1487611885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER PHILLIPS Billing Manager 360-567-3284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2008-01-15 |