NPI | 1740723915 |
---|---|
Doing Business As | PREVAIL PHYSICAL THERAPY |
Entity Type | Organization |
Authorized Contact | KENNETH BRUK BALLENGER Owner, Manager 206-920-5372 |
Organization Subpart ? | No |
Primary Taxonomy | 225100000X Physical Therapist (Licence: WA 7473) |
Enumeration Date | 2016-11-21 |
Last Update Date | 2016-11-21 |