| NPI | 1700279205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY PAYNE Owner/Provider 360-702-6494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WA PT 00009154) |
| Enumeration Date | 2015-03-09 |
| Last Update Date | 2015-03-09 |