Organization
INTEGRATED REHABILITATION GROUP, PC
Active
Parent organization
INTEGRATED REHABILITATION GROUP, PC
Other names
IRG Physical & Hand Therapy - Everett, IRG Pacific Ave Hand Therapy - Everett
Organization subpart
Yes
Provider details
NPI number
Legal business name
INTEGRATED REHABILITATION GROUP, PC
Authorized official
MICHAEL SHANNON O'KELLEY MPT (PRESIDENT/OWNER)
(425) 316-8046
Entity
Organization
Contact information
Practice address
3732 COLBY AVE, EVERETT, WA 98201-4911
(425) 374-2846
(425) 374-3272
Mailing address
4220 132ND ST SE, SUITE 101, MILL CREEK, WA 98012-8999
(425) 316-8046
(425) 338-9637
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
—
—
261Q00000X
Clinic/Center
Primary
—
WA
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
379172614
OWCP
WA
Enumeration date
08/14/2008
Last updated
10/22/2024
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