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Organization
SUMMIT PACIFIC REHABILITATION
Active
Organization
SUMMIT PACIFIC REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY MANNING (PTA)
(360) 740-5192
Entity
Organization
Contact information
Practice address
1509 HARRISON AVE, CENTRALIA, WA 98531-4568
(360) 736-0112
Mailing address
970 5TH AVE NW, SUITE 7, ISSAQUAH, WA 98027-2469
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Enumeration date
04/01/2009
Last updated
04/01/2009
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