Organization
PACIFIC SPORTS REHAB, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN SIMPSON PT, DPT (PHYSICAL THERAPIST/OWNER)
(425) 712-1978
Entity
Organization
Contact information
Practice address
6912 220TH ST SW STE 205, MOUNTLAKE TERRACE, WA 98043-2169
(206) 465-3616
Mailing address
6912 220TH ST SW STE 205, MOUNTLAKE TERRACE, WA 98043-2169
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
225XH1200X
Hand Occupational Therapist
—
—
Other
Enumeration date
09/07/2022
Last updated
06/13/2024
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