| NPI | 1740322304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA OBERGOTTSBERGER Owner 360-734-2277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WA 00006753) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2018-02-23 |