NPI | 1811503691 |
---|---|
Entity Type | Organization |
Authorized Contact | STACEY REISIG STAUBER Physical Therapist 360-303-8353 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
Enumeration Date | 2020-09-17 |
Last Update Date | 2020-09-17 |