| NPI | 1609385947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY DEXTER Physical Therapist 206-491-7193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 00008614) |
| Enumeration Date | 2017-09-28 |
| Last Update Date | 2022-07-21 |