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Organization
PROFORMANCE REHAB INC
Active
Organization
PROFORMANCE REHAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK A TROMBOLD MSPT (OWNER)
(206) 322-2842
Entity
Organization
Contact information
Practice address
1550 EASTLAKE AVE E, SUITE 100, SEATTLE, WA 98102-3728
(206) 322-2842
(206) 322-6232
Mailing address
1550 EASTLAKE AVE E, SUITE 100, SEATTLE, WA 98102-3728
(206) 322-2842
(206) 322-6232
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00005317
WA
Other
Enumeration date
06/17/2006
Last updated
08/22/2020
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