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Organization
SUMMIT PACIFIC OUTPATIENT SERVICES, LLC
Active
Organization
SUMMIT PACIFIC OUTPATIENT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN FERGUS PT (DIRECTOR OF OPERATIONS)
(253) 230-5641
Entity
Organization
Contact information
Practice address
1224 E WESTVIEW CT, SPOKANE, WA 99218-3813
(509) 467-5625
Mailing address
970 5TH AVE NW, ISSAQUAH, WA 98027-2469
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
06/22/2007
Last updated
06/11/2009
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