| NPI | 1710008313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE A HARRIS Clinic Administration 360-733-7046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2011-08-24 |