| NPI | 1104109677 |
|---|---|
| Doing Business As | PROVIDENCE REHAB SERVICES-CAMAS |
| Entity Type | Organization |
| Authorized Contact | DONALD WAYNE ANDERSON Asst Corp Secretary For Enrollments 425-525-5392 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist, | |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2019-01-17 |