| NPI | 1962779249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA CANTRELL Director Of Outpatient 360-901-8111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist | |
| Enumeration Date | 2011-11-30 |
| Last Update Date | 2013-01-02 |