| NPI | 1053345017 |
|---|---|
| Doing Business As | IRG PHYSICAL & HAND THERAPY - EVERGREEN |
| Entity Type | Organization |
| Authorized Contact | MICHAEL SHANNON O'KELLEY President/Owner 425-316-8046 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Additional Taxonomies | 225700000X Massage Therapist |
| 225XH1200X Occupational Therapist, Hand | |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2023-12-28 |