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Organization
PEDIATRIC REHABILITATION ASSOCIATES PLLC
Active
Organization
PEDIATRIC REHABILITATION ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN QUIGLEY MD (MD/OWNER)
(206) 482-0103
Entity
Organization
Contact information
Practice address
1907 COOKS HILL RD, CENTRALIA, WA 98531-9073
(253) 268-0720
Mailing address
117 E LOUISA ST, #370, SEATTLE, WA 98102-3203
(206) 329-1468
Taxonomy
Speciality
Code
Description
License number
State
2081P0010X
Pediatric Rehabilitation Medicine Physician
Primary
MD60570885
WA
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
MD60570885
WA
Other
Enumeration date
01/25/2017
Last updated
01/25/2017
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