| NPI | 1740480110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER ERIN PENROSE Clinic Director/Owner 360-456-1444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WA PT00008404) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2007-07-23 |