| NPI | 1841267242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD SCOTT COLEMAN PT/Owner 253-752-9303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00000920) |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2020-08-22 |