| NPI | 1801920566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BART D SIMONS Owner President 206-524-5115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00004077) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |