| NPI | 1609222132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY LAURIE HATA Owner 509-469-4996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT00000673) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA MA60016860) |
| 225XH1200X Occupational Therapist, Hand | |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2016-05-13 |