| NPI | 1548460090 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE TEAGUE Office Manager 425-487-3142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT000000652) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2008-04-09 |