NPI | 1730704883 |
---|---|
Entity Type | Organization |
Authorized Contact | KELSEY ZANE DANIELS Doctor Of Physical Therapy 360-922-4458 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics |
2251X0800X Physical Therapist, Orthopedic | |
Enumeration Date | 2020-06-15 |
Last Update Date | 2020-06-15 |