NPI | 1548590227 |
---|---|
Entity Type | Organization |
Authorized Contact | TRINA JAN LEAF Owner 253-514-7701 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WA PT 00008055) |
Enumeration Date | 2010-01-02 |
Last Update Date | 2013-01-22 |