# MOSAIC REHABILITATION, INC

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

## Provider details

- **NPI number:** 1659595593
- **Authorized official:** MS. ANDREA L DUFFIELD ST (PRESIDENT)
- **Authorized official phone:** (425) 644-6328

## Contact information

- **Practice address:** 2445 140TH AVE NE, SUITE B105, BELLEVUE, WA 98005-1879
- **Practice address phone:** (425) 644-6328
- **Practice address fax:** (425) 644-6295
- **Mailing address:** 13010 NE 20TH ST, SUITE 300, BELLEVUE, WA 98005-2034
- **Mailing address phone:** (425) 644-6328
- **Mailing address fax:** (425) 644-6295

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/12/2007
- **Last updated:** 06/28/2012