| NPI | 1871655738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA MAY MCGOVERN President 360-417-8630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: WA MD00038187) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: WA MD00038187) |
| 225X00000X Occupational Therapist (Licence: WA OT00003652) | |
| 225XH1200X Occupational Therapist, Hand (Licence: WA OT00003652) | |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2020-08-22 |