Organization
UNITED BACKCARE PS
Active
Other names
Pacific Rehabilitation Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MARY E SPORES OTR (OWNER)
(425) 513-8509
Entity
Organization
Contact information
Practice address
126 15TH ST SE, PUYALLUP, WA 98372-3409
(253) 445-8663
(253) 445-8342
Mailing address
9617 7TH AVE SE, EVERETT, WA 98208-3710
(425) 513-8509
(425) 290-9774
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
—
Other
Enumeration date
08/23/2006
Last updated
11/08/2023
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