| NPI | 1548416001 |
|---|---|
| Doing Business As | IRG PACIFIC AVE HAND THERAPY - EVERETT |
| Doing Business As | IRG PHYSICAL & HAND THERAPY - EVERETT |
| Entity Type | Organization |
| Authorized Contact | MICHAEL SHANNON O'KELLEY President/Owner 425-316-8046 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 225XH1200X Occupational Therapist, Hand |
| 261QP2000X Clinic/Center, Physical Therapy | |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2024-10-22 |