# SUNRISE LYMPHEDEMA CENTER LLC

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

## Provider details

- **NPI number:** 1871760462
- **Authorized official:** LAURIE J HERMAN OTR/L (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (509) 469-1769

## Contact information

- **Practice address:** 624 S 18TH AVE, YAKIMA, WA 98902-4210
- **Practice address phone:** (509) 469-8903
- **Practice address fax:** (509) 452-2444
- **Mailing address:** 624 S 18TH AVE, YAKIMA, WA 98902-4210
- **Mailing address phone:** (509) 469-8903

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | OT00004331 | WA | Yes |

## Other

- **Enumeration date:** 05/13/2008
- **Last updated:** 08/31/2011