PROVAIL

SEATTLE, WA
NPI1871857946
Entity TypeOrganization
Authorized ContactMICHAEL HATZENBELER
CEO
206-826-1044
Organization Subpart ?No
Primary Taxonomy261QR0400X Clinic/Center, Rehabilitation
(Licence: WA  OT60281347)
Enumeration Date2012-07-03
Last Update Date2012-07-03
Business Address
PROVAIL
12550 AURORA AVE N
SEATTLE, WA 98133-8036
Phone number: 206-363-7303
Mailing Address
PROVAIL
12550 AURORA AVE N
SEATTLE, WA 98133-8036
Phone number: 206-363-7303