| NPI | 1548646532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY CHARLENE GUARDIA Owner/Practitioner 253-363-3758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: WA OT 00002991) |
| Enumeration Date | 2015-08-03 |
| Last Update Date | 2015-08-03 |