| NPI | 1306134010 |
|---|---|
| Doing Business As | IRG EASTSIDE HAND THERAPY |
| 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 | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2014-11-12 |