| NPI | 1972812675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON ZOOK Owner/CEO 253-202-6858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WA PT00008775) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WA PT00009243) |
| Enumeration Date | 2010-09-28 |
| Last Update Date | 2010-09-29 |