| NPI | 1639414766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHODA CHAVEZ-NOWLAN Billing Manager, Finance 425-776-0803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 602579792) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: WA 602579792) |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2023-03-13 |