| NPI | 1639513419 |
|---|---|
| Doing Business As | IRG PHYSICAL THERAPY - GATEWAY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL SHANNON OKELLEY Owner 425-316-8046 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2023-12-28 |