| NPI | 1821272469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL ALFRED BRZUSEK Medical Director 425-453-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine (Licence: WA OP00000727) |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2007-12-18 |