| NPI | 1609228774 |
|---|---|
| Doing Business As | PEDIATRIC THERAPY |
| Entity Type | Organization |
| Authorized Contact | SUSAN LINDA FOX Director 206-323-7792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities (Licence: WA OT00000801) |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2016-07-12 |