Organization Name: | SUMMIT REHABILITATION LLC |
NPI Number: | 1558492934 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TARA URBAN (CREDENTIALING COORDINATOR) |
Mailing Address: | 11805 N Creek Pkwy S Suite 113 Bothell |
State: | WA US |
Postal Code: | 980118803 |
Phone Number: | 4258065721 |
Fax Number: | 4258065701 |
NPI Enumeration Date: | 03/08/2007 |
NPI Last Update Date: | 03/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |