| NPI | 1609322056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONIE GOERTZEN Occupational Therapist 509-720-7704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WA OT 60119529) |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2016-08-26 |