| NPI | 1992192231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE A WENTZEL Owner / CEO 360-356-6811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center Physical Therapy (Licence: WA PT60013093) |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2022-07-21 |