| NPI | 1982375028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKAYLA RACHELLE WOOLLEY Occupational Therapist 360-602-2815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Enumeration Date | 2021-09-27 |
| Last Update Date | 2021-11-10 |