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Organization
ULTIMATE PERFORMANCE REHABILITATION LLC
Active
Organization
ULTIMATE PERFORMANCE REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MEGAN MARIE MILYARD OTR/L (OWNER/OCCUPATIONAL THERAPIST)
(360) 697-3003
Entity
Organization
Contact information
Practice address
19351 8TH AVE NE, SUITE 200, POULSBO, WA 98370-8710
(360) 697-3003
(360) 697-3026
Mailing address
19351 8TH AVE NE, SUITE 200, POULSBO, WA 98370-8710
(360) 697-3003
(360) 697-3026
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
OT00002325
WA
Other
Enumeration date
05/29/2008
Last updated
11/27/2013
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