| NPI | 1275088924 |
|---|---|
| Doing Business As | IRG PHYSICAL & HAND THERAPY BONNEY LAKE |
| 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 | 225X00000X Occupational Therapist |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2023-12-28 |