| NPI | 1992185441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NILES ROBERTS CEO 360-920-9462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WA MD60076501) |
| Enumeration Date | 2015-05-30 |
| Last Update Date | 2015-05-30 |