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Organization

ADVANCED REHABILITATION SPECIALTIES INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LORRIE A SCHEUFFELE (CLINICAL DIRECTOR)
(360) 736-0699
Entity
Organization

Contact information

Practice address
1510 KRESKY AVE, CENTRALIA, WA 98531
(360) 736-0699
(360) 736-0324
Mailing address
PO BOX 1410, CENTRALIA, WA 98531-0700
(360) 736-0699
(360) 736-0324

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00005068
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0226384
L&I
WA
01
8871311
MEDICARE GRP. #
WA
01
8871358
MEDICARE PIN
WA
Enumeration date
11/13/2007
Last updated
08/21/2019
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