# SEATTLE SPINE AND REHABILITATION

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

## Provider details

- **NPI number:** 1558601195
- **Authorized official:** RICHARD SEROUSSI MD (MD)
- **Authorized official phone:** (206) 861-8200

## Contact information

- **Practice address:** 3213 EASTLAKE AVE E, SEATTLE, WA 98102-7127
- **Practice address phone:** (206) 861-8200
- **Mailing address:** 3213 EASTLAKE AVE E, SEATTLE, WA 98102-7127
- **Mailing address phone:** (206) 861-8200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 273Y00000X | Rehabilitation Hospital Unit | AP 60301515 | WA | Yes |

## Other

- **Enumeration date:** 02/19/2013
- **Last updated:** 02/20/2013