| NPI | 1922298629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE MARGARET MCLEOD Sole Proprietor/Physical Therapist 360-275-4352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: WA PT00002351) |
| Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy (Licence: CA PT8573) |
| Enumeration Date | 2007-07-28 |
| Last Update Date | 2008-10-09 |