| NPI | 1790582047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL WELLS Speech Language Pathologist 360-584-5581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2025-02-25 |
| Last Update Date | 2025-02-25 |