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Organization

DIVERSIFIED PAIN & MOVEMENT THERAPY

Active
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Organization

DIVERSIFIED PAIN & MOVEMENT THERAPY

Active
Parent organization
DIVERSIFIED PAIN & MOVEMENT THERAPY
Other names
Diversified Movement Therapy MediTouch Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
DIVERSIFIED PAIN & MOVEMENT THERAPY
Authorized official
JUDITH A ROSEVEAR MS, OTR/L (OWNER)
(425) 531-9886
Entity
Organization

Contact information

Practice address
875 140TH AVE NE STE 103, BELLEVUE, WA 98005
(425) 531-9886
(253) 345-5129
Mailing address
875 140TH AVE NE STE 103, BELLEVUE, WA 98005-3400
(425) 531-9886
(253) 345-5129

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2098601
WA
Enumeration date
12/08/2017
Last updated
09/06/2018
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