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Organization
REVITA REHAB NORTH LLC
Active
Organization
REVITA REHAB NORTH LLC
Active
Other names
Revita Rehab North
Organization subpart
No
Provider details
NPI number
Authorized official
BETH ELMORE (OFFICE MANAGER)
(509) 489-4249
Entity
Organization
Contact information
Practice address
203 E DALKE AVE, SUITE B, SPOKANE, WA 99208-8112
(509) 489-4249
(509) 483-8338
Mailing address
203 E DALKE AVE, SUITE B, SPOKANE, WA 99208-8112
(509) 489-4249
(509) 483-8338
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
MT
225100000X
Physical Therapist
Primary
—
WA
Other
Enumeration date
04/20/2012
Last updated
06/15/2012
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