| NPI | 1962556258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY BRASK Occupational Therapist 360-393-6210 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: WA OT00002502) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2008-07-25 |