| NPI | 1568098796 |
|---|---|
| Doing Business As | TAI - SE REDMOND |
| Entity Type | Organization |
| Authorized Contact | MELISSA HAMILTON Director Payer Provider Relations 800-219-8835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2020-03-19 |