| NPI | 1568521433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY A. LOOMIS Clinic Coordinator 425-275-9071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA LW00006363) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: WA OT00003762) |
| 235Z00000X Speech-Language Pathologist, (Licence: WA LL00001290) | |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2020-08-22 |