| NPI | 1770840258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEANE A. K KUAPAHI Physical Therapist Asst. 253-845-9098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: WA P160029289) |
| Enumeration Date | 2012-04-20 |
| Last Update Date | 2012-04-23 |