Provider First Line Business Practice Location Address:
DEPT REHAB MEDICINE 1959 NE PACIFIC ST # 356490 BB-928
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98195-2307
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-685-0936
Provider Business Practice Location Address Fax Number:
206-616-3908
Provider Enumeration Date:
04/05/2022