| NPI | 1619297470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL W BAUDENDISTEL President/L PT 360-970-4817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00009567) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: WA OT00001630) |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2010-06-04 |