Organization
RWW PEDIATRIC REHAB SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER WILSON (CREDENTIALING MANAGER)
(502) 272-3463
Entity
Organization
Contact information
Practice address
1301 4TH AVE NW STE 100, ISSAQUAH, WA 98027-9371
(425) 392-7989
(425) 391-2554
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
(502) 394-2100
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/26/2018
Last updated
11/14/2023
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