| NPI | 1780604009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT L HAVSY Owner 253-473-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WA 878) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-08-22 |