Organization
SPORTS REACTION CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEIL CHASAN PT (PRESIDENT)
(425) 643-9778
Entity
Organization
Contact information
Practice address
1750 112TH AVE NE, SUITE D-154, BELLEVUE, WA 98004-3752
(425) 643-9778
(425) 643-6448
Mailing address
1750 112TH AVE NE, SUITE D-154, BELLEVUE, WA 98004-3752
(425) 643-9778
(425) 643-6448
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT00002855
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1649232588
INDIVIDUAL UPN
WA
Enumeration date
01/25/2007
Last updated
06/19/2008
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