| NPI | 1730701483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLY BROOKS Owner 206-795-4360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2021-01-19 |