| NPI | 1861988131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA CANTRELL Regional Director Of Out Patient Op 360-901-8111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-07-10 |