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Organization
WEST COAST THERAPY, LLC
Active
Organization
WEST COAST THERAPY, LLC
Active
Other names
ACORF NORTHWEST, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARGE GRISHKOFF (MANAGING MEMBER)
(239) 948-0041
Entity
Organization
Contact information
Practice address
25022 104TH AVE SE STE B, KENT, WA 98030-2822
(253) 856-0677
(253) 856-0674
Mailing address
23150 FASHION DR, SUITE T-240, ESTERO, FL 33928-8321
(239) 948-0041
(239) 948-0027
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
504506
WA
Other
Enumeration date
10/12/2006
Last updated
07/15/2008
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