# RWW PEDIATRIC REHAB SERVICES LLC

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

## Provider details

- **NPI number:** 1033602487
- **Authorized official:** MARY A PANK (PARALEGAL)
- **Authorized official phone:** (502) 394-2100

## Contact information

- **Practice address:** 20818 44TH AVE W, LYNNWOOD, WA 98036-7709
- **Practice address phone:** (802) 497-1863
- **Mailing address:** 9901 LINN STATION RD, LOUISVILLE, KY 40223-3808
- **Mailing address phone:** (502) 394-2100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 06/11/2018
- **Last updated:** 06/11/2018