| NPI | 1689106411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATERYNA BAKAY Owner 918-688-4403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WA PT60184214) |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2021-04-12 |