Organization
PIVOT REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEANDRA COOPER (OCCUPATIONAL THERAPIST)
(360) 535-3534
Entity
Organization
Contact information
Practice address
4756 OAKHURST LN SW, PORT ORCHARD, WA 98367-9363
(360) 535-3534
Mailing address
4756 OAKHURST LN SW, PORT ORCHARD, WA 98367-9363
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/04/2024
Last updated
09/24/2024
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