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Organization
BRAINSTORM REHABILITATION, LLC
Active
Organization
BRAINSTORM REHABILITATION, LLC
Active
Other names
Brainstorm Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
BETHANY LEIGHANN DAVIS M.A. CCC-SLP (OWNER)
(509) 833-1983
Entity
Organization
Contact information
Practice address
109 E 3RD AVE STE 1, ELLENSBURG, WA 98926-3357
(509) 833-1983
Mailing address
PO BOX 32, ELLENSBURG, WA 98926-1909
(509) 833-1983
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
LL00003578
WA
Other
Enumeration date
08/31/2009
Last updated
08/15/2019
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