| NPI | 1962218388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER RENEE ALLEN Member Manager 360-836-1068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2024-12-10 |
| Last Update Date | 2024-12-14 |