Organization
MOSAIC REHABILITATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA LUPUL SIMS SLP (PRESIDENT)
(425) 644-6328
Entity
Organization
Contact information
Practice address
2445 140TH AVE NE, SUITE B-105, BELLEVUE, WA 98005-1879
(425) 644-6328
(425) 644-6295
Mailing address
2445 140TH AVE NE, SUITE B-105, BELLEVUE, WA 98005-1879
(425) 644-6328
(425) 644-6295
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT00010516
WA
Other
Enumeration date
10/03/2007
Last updated
10/03/2007
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