| NPI | 1548294168 |
|---|---|
| Doing Business As | RIVERSIDE PHYSICAL THERAPY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL SHANNON O'KELLEY President/Owner 425-316-8046 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: ID PT-1220) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2023-12-28 |