# PUSHING BOUNDARIES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1275871618
- **Authorized official:** MS. TRICIA LAZZAR (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (425) 869-9506

## Contact information

- **Practice address:** 4162 148TH AVE NE, REDMOND, WA 98052-5164
- **Practice address phone:** (425) 869-9506
- **Mailing address:** 4162 148TH AVE NE, REDMOND, WA 98052-5164
- **Mailing address phone:** (425) 869-9506

## Taxonomy

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

## Other

- **Enumeration date:** 01/18/2013
- **Last updated:** 01/18/2013