| NPI | 1760663827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS E MORAVEK Physician 253-627-0762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WA MD00035329) |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2007-11-16 |