| NPI | 1619120763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA LYNN HARDIN Member/Owner 360-357-1311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT 00010439) |
| Enumeration Date | 2008-11-01 |
| Last Update Date | 2008-11-01 |