Organization
WEST COAST THERAPY, LLC
Active
Other names
ACORF NORTHWEST, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARGE GRISHKOFF (MANAGING MEMBER)
(239) 948-0041
Entity
Organization
Contact information
Practice address
25022 104TH AVE SE STE B, KENT, WA 98030-2822
(253) 856-0677
(253) 856-0674
Mailing address
23150 FASHION DR, SUITE T-240, ESTERO, FL 33928-8321
(239) 948-0041
(239) 948-0027
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
504506
WA
Other
Enumeration date
10/12/2006
Last updated
07/15/2008
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