| NPI | 1629388616 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL GOUGH OWENS Physical Therapist 206-819-4002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT 00009618) |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2010-10-08 |