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Organization
REJUVENANCE THERAPY LLC
Active
Organization
REJUVENANCE THERAPY LLC
Active
Other names
Sarah W. Dible
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARAH W DIBLE MSPT (SOLE MEMBER)
(360) 601-7485
Entity
Organization
Contact information
Practice address
14201 NE 20TH AVE, SUITE 1102, VANCOUVER, WA 98686-6410
(360) 882-7373
(360) 882-7673
Mailing address
14504 NW 20TH AVE, VANCOUVER, WA 98685-8006
(360) 601-7485
(503) 597-5324
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00007729
WA
Other
Enumeration date
05/24/2010
Last updated
05/24/2010
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