| NPI | 1871024059 |
|---|---|
| Doing Business As | AMY C BIENVENU |
| Entity Type | Organization |
| Authorized Contact | AMY C BIENVENU Owner 360-472-1356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172M00000X Mechanotherapist (Licence: WA MA6888) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2017-03-21 |