Organization
ADVANCED THERAPY & SPORTS REHABILITATION,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA L GOBER RPT (OWNER)
(425) 746-0752
Entity
Organization
Contact information
Practice address
12811 SE 38TH ST, BELLEVUE, WA 98006-1326
(425) 746-0752
(425) 746-1587
Mailing address
2310 130TH AVE NE # B103, BELLEVUE, WA 98005-1799
(425) 890-3989
(425) 746-1587
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3899
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497896005
TYPE-1 NPI
—
01
—
1851661573
NPI GROUP #
WA
Enumeration date
01/11/2012
Last updated
05/01/2013
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