NPI | 1992878763 |
---|---|
Entity Type | Organization |
Authorized Contact | TINA MARIE LEAVITT Operations Manager 425-451-2272 |
Organization Subpart ? | No |
Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: WA 601873433) |
Enumeration Date | 2006-11-17 |
Last Update Date | 2008-06-05 |