Organization
INTEGRATED REHABILITATION GROUP PC
Active
Parent organization
INTEGRATED REHABILITATION GROUP PC
Other names
IRG Eastside Hand Therapy
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
12911 120TH AVE NE, SUITE F120, KIRKLAND, WA 98034-3027
(425) 823-1389
(425) 820-3996
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
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
07/14/2011
Last updated
11/12/2014
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