Organization
ADULT REHABILITATION THERAPIES, PLLC
Active
Organization
ADULT REHABILITATION THERAPIES, PLLC
Active
Parent organization
ADULT REHABILITATION THERAPIES, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ADULT REHABILITATION THERAPIES, PLLC
Authorized official
MR. JAMES C FULLER PHYSICAL THERAPIST (PRESIDENT)
(253) 839-3403
Entity
Organization
Contact information
Practice address
31200 23RD AVE SOUTH, SUITE 100, FEDERAL WAY, WA 98003
(253) 839-3403
(253) 839-3412
Mailing address
PO BOX 6225, FEDERAL WAY, WA 98063
(253) 839-3403
(253) 839-3412
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
602023026
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7101710
—
WA
01
—
G8870660
MEDICARE PTAN
WA
Enumeration date
04/23/2007
Last updated
06/03/2014
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