| NPI | 1750471538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS DIANGELIS Owner 425-670-9991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: WA PT00002005) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2015-12-18 |