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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