Organization
SOUTH SOUND PHYSICAL & HAND THERAPY LLC
Active
Parent organization
SOUTH SOUND PHYSICAL & HAND THERAPY LLC
Other names
South Sound Physical & Hand Therapy
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTH SOUND PHYSICAL & HAND THERAPY LLC
Authorized official
MICHAEL SHANNON O'KELLEY MPT (PRESIDENT/OWNER)
(425) 316-8046
Entity
Organization
Contact information
Practice address
6981 LITTLEROCK RD SW, SUITE 105, TUMWATER, WA 98512-7226
(360) 352-7352
(360) 352-7680
Mailing address
1519 132ND ST SE, SUITE A, EVERETT, WA 98208-7203
(425) 357-9380
(425) 357-9382
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
—
WA
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3583413-01
OWCP
WA
Enumeration date
07/12/2006
Last updated
12/27/2011
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