| NPI | 1508249665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW STUART MANGES Physical Therapist 206-399-1576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WA PT60291336) |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2016-02-12 |