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Organization
RESTORATION REHABILITATION INC
Active
Organization
RESTORATION REHABILITATION INC
Active
Other names
Restoration Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
LISA A SCHEUFFELE P.T. (OWNER/ PRESIDENT)
(253) 549-5668
Entity
Organization
Contact information
Practice address
10119 HIGHWAY 12 SW, ROCHESTER, WA 98579-8621
(360) 273-4747
(360) 273-4747
Mailing address
PO BOX 306, FOX ISLAND, WA 98333-0306
(360) 273-4747
(360) 273-4747
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00003851
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
236625
DEPARTMENT OF LABOR & INDUSTRIES
WA
01
—
2496SC
REGENCE BLUE SHIELD
WA
05
—
7145766
—
WA
Enumeration date
01/13/2010
Last updated
03/03/2010
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