| NPI | 1528331402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE MALIJAN Clinical Manager 425-379-8120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00003917) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT60178380) |
| 225700000X Massage Therapist (Licence: WA MA00018299) | |
| 225700000X Massage Therapist (Licence: WA MA00015079) | |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2012-02-22 |