NPI | 1801520069 |
---|---|
Doing Business As | AGESTRONG MIRABELLA SEATTLE |
Entity Type | Organization |
Authorized Contact | STACI TONE Controller 971-206-5125 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
Additional Taxonomies | 225100000X Physical Therapist |
225X00000X Occupational Therapist | |
235Z00000X Speech-Language Pathologist, | |
Enumeration Date | 2022-07-13 |
Last Update Date | 2023-05-15 |