Organization
INTEGRATED REHABILITATION GROUP PC
Active
Parent organization
INTEGRATED REHABILITATION GROUP PC
Other names
IRG Pacific Handworks Issaquah
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTEGRATED REHABILITATION GROUP PC
Authorized official
MICHAEL SHANNON O'KELLEY MPT (PRESIDENT/OWNER)
(425) 316-8046
Entity
Organization
Contact information
Practice address
5825 221ST PL SE, SUITE 208, ISSAQUAH, WA 98027-8927
(425) 392-4206
(425) 392-4209
Mailing address
4220 132ND ST SE, SUITE 101, MILL CREEK, WA 98012-8999
(425) 357-9380
(425) 357-9382
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
12/17/2009
Last updated
12/16/2015
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