# ULTIMATE PERFORMANCE REHABILITATION LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013175744
- **Authorized official:** MRS. MEGAN MARIE MILYARD OTR/L (OWNER/OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (360) 697-3003

## Contact information

- **Practice address:** 19351 8TH AVE NE, SUITE 200, POULSBO, WA 98370-8710
- **Practice address phone:** (360) 697-3003
- **Practice address fax:** (360) 697-3026
- **Mailing address:** 19351 8TH AVE NE, SUITE 200, POULSBO, WA 98370-8710
- **Mailing address phone:** (360) 697-3003
- **Mailing address fax:** (360) 697-3026

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | OT00002325 | WA | Yes |

## Other

- **Enumeration date:** 05/29/2008
- **Last updated:** 11/27/2013