Organization
ADVANCED MOBILITY REPAIR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAZON ROTZ (OWNER)
(360) 219-1102
Entity
Organization
Contact information
Practice address
21645 OREGON TRL, CENTRALIA, WA 98531-9617
(360) 219-1102
(360) 237-0561
Mailing address
1411 NW LOUISIANA AVE, SUITE 140, CHEHALIS, WA 98532-1749
(360) 219-1102
(360) 237-0561
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
602621899
WA
Other
Enumeration date
10/09/2006
Last updated
06/16/2008
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