| NPI | 1083943245 |
|---|---|
| Doing Business As | IRG PACIFIC HANDWORKS ISSAQUAH |
| Entity Type | Organization |
| Authorized Contact | MICHAEL SHANNON O'KELLEY President/Owner 425-316-8046 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225XH1200X Occupational Therapist, Hand |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2015-12-16 |