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Organization
VAN WAGNER VENTURES LLC
Active
Organization
VAN WAGNER VENTURES LLC
Active
Other names
InHome Rehab Of Washington
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA SUE VANWAGNER (OWNER)
(206) 595-5085
Entity
Organization
Contact information
Practice address
22710 126TH PL SE, KENT, WA 98031-3666
(206) 595-5085
Mailing address
22710 126TH PL SE, KENT, WA 98031-3666
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5028
WA
Other
Enumeration date
09/26/2006
Last updated
10/08/2007
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