Organization
INTEGRATED REHABILITATION GROUP, PC
Active
Parent organization
INTEGRATED REHABILITATION GROUP, PC
Other names
Northwest Sport & Spine Physical Therapy- Mount Vernon
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTEGRATED REHABILITATION GROUP, PC
Authorized official
DANIELLE KELLY (CREDENTIALING COORDINATOR)
(425) 316-8046
Entity
Organization
Contact information
Practice address
525 E COLLEGE WAY, MOUNT VERNON, WA 98273-5571
(360) 464-4358
Mailing address
4220 132ND ST SE STE 202, MILL CREEK, WA 98012-8999
(425) 316-8046
(425) 341-9034
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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