NPI | 1699011726 |
---|---|
Doing Business As | IRG PHYSICAL THERAPY - PARKSIDE |
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: WA 710883456) |
Enumeration Date | 2012-12-18 |
Last Update Date | 2023-12-28 |