| NPI | 1801989587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Assistant Secretary Of Enrollments 425-358-9786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation |
| Additional Taxonomies | 225100000X Physical Therapist |
| 261QP2000X Clinic/Center Physical Therapy | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2025-05-16 |