| NPI | 1780095208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARNI L WILSON Physical Therapist Assistant 206-598-2889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: WA P160063061) |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2014-05-19 |