| NPI | 1700255502 |
|---|---|
| Former Legal Business Name | INTEGRATIVE CHILD AND ADULT NEUROLOGY |
| Entity Type | Organization |
| Authorized Contact | GILLIAN EHRLICH Owner 206-379-1213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: WA 603337701) |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2025-06-16 |