Organization
PACIFIC REHABILITATION & SPORTS MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL TARVIN (VICE PRESIDENT)
(717) 975-4503
Entity
Organization
Contact information
Practice address
12500 AURORA AVE N, STE C, SEATTLE, WA 98133-1518
(206) 524-6916
Mailing address
12500 AURORA AVE N, STE C, SEATTLE, WA 98133-1518
(206) 524-6916
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/09/2006
Last updated
03/11/2008
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