Organization
BRIGHTON REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES RANDY KIRTON (OWNER)
(801) 532-4120
Entity
Organization
Contact information
Practice address
1285 SW CENTER ST, PULLMAN, WA 99163-5807
(209) 332-2629
(209) 332-2749
Mailing address
206 N 2100 W, SALT LAKE CITY, UT 84116-4740
(801) 532-4120
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/25/2011
Last updated
11/16/2015
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