Autismwave Therapy Services
NPI #1376219691 in Kent, Washington
Provider Information
- NPI Number
- 1376219691
- Entity Type
- Organization
- Organization Name
- Autismwave Therapy Services
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Aug 17, 2021
- Last Updated
- Aug 17, 2021
Practice Location
- Address
- 13312 SE 262ND ST
- City
- Kent
- State
- Washington
- ZIP Code
- 98042-8521
- Phone
- (206) 582-9392
Authorized Official
- Name
- SAMUEL BULLOCK
- Title
- COO
- Phone
- (562) 357-5705
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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