# PEDIATRIC REHABILITATION ASSOCIATES PLLC

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

## Provider details

- **NPI number:** 1770020992
- **Authorized official:** SUSAN QUIGLEY MD (MD/OWNER)
- **Authorized official phone:** (206) 482-0103

## Contact information

- **Practice address:** 1907 COOKS HILL RD, CENTRALIA, WA 98531-9073
- **Practice address phone:** (253) 268-0720
- **Mailing address:** 117 E LOUISA ST, \#370, SEATTLE, WA 98102-3203
- **Mailing address phone:** (206) 329-1468

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P0010X | Pediatric Rehabilitation Medicine Physician | MD60570885 | WA | Yes |
| 2081P0301X | Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician | MD60570885 | WA | — |

## Other

- **Enumeration date:** 01/25/2017
- **Last updated:** 01/25/2017