| NPI | 1972884732 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY MICHAEL MARK Physical Therapist 206-223-7528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: WA PT60228289) |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2011-09-07 |