| NPI | 1861549206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXANNE BRYSON Executive Director 360-373-2536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251P0200X Physical Therapist, Pediatrics |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent |
| 104100000X Social Worker | |
| 2080P0006X Pediatrics, Developmental - Behavioral Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| 364S00000X Clinical Nurse Specialist | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2025-09-11 |