Organization

Eastside Hand Rehabilitation Clinic Inc

Occupational Therapist in Kirkland, WA(View on Map)

Legal Business Name

Eastside Hand Rehabilitation Clinic Inc

NPI Number

1467582320

NPI Type

Organization

Enumeration Date

03/07/2007

Specialties

(Taxonomies)

Code

225X00000X
225XH1200X

Primary Taxonomy

Yes
No

Contact
Information

Purpose

Mailing
Location

Address

12911-120TH AVE NE
12911-120TH AVE NE

City

Kirkland
Kirkland

State

WA
WA

Postal Code

98034-3025
98034-3025

Country

US
US

Telephone Number

(425) 823-1389
(425) 823-1389

Authorized Official

Name

Mrs. Lynnlee Fullenwider

Title or Position

OWNER PRESIDENT

Telephone Number

(425) 823-1389

Identifiers

Identifier

EA2218
7680697
T06695
34460

Identifier State

WA
WA
WA
WA

Identifier Issuer

REGENCE
Unknown
PREMERA
L & I

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/09/2009

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