| NPI | 1770020992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN QUIGLEY Md/Owner 206-482-0103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P0010X Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine (Licence: WA MD60570885) |
| Additional Taxonomies | 2081P0301X Physical Medicine & Rehabilitation, Brain Injury Medicine (Licence: WA MD60570885) |
| Enumeration Date | 2017-01-25 |
| Last Update Date | 2017-01-25 |