| NPI | 1649800608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE COLLEEN WYATT Occupational Therapist 360-770-1752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XE0001X Occupational Therapist, Environmental Modification |
| Enumeration Date | 2020-01-18 |
| Last Update Date | 2020-01-18 |