Provider First Line Business Practice Location Address:
5300 TALLMAN AVE
Provider Second Line Business Practice Location Address:
OUTPATIENT REHAB SERVICES 1-SOUTH
Provider Business Practice Location Address City Name:
SEATTLE
Provider Business Practice Location Address State Name:
WA
Provider Business Practice Location Address Postal Code:
98107
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
206-781-6346
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/31/2018