| NPI | 1952761215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDIS GUNDERSON President/Owner/Physical Therapist 360-318-5478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WA PT60244355) |
| Enumeration Date | 2016-03-01 |
| Last Update Date | 2016-03-01 |