Rejuvenance Therapy LLC

NPI #1306165832 in Vancouver, Washington

Provider Information

NPI Number: 1306165832
Entity Type: Organization
Organization Name: Rejuvenance Therapy LLC
Primary Specialty: Physical Therapist
Enumeration Date: May 24, 2010
Last Updated: May 24, 2010

Practice Location

Address: 14201 NE 20TH AVE
Address 2: SUITE 1102
City: Vancouver
State: Washington
ZIP Code: 98686-6410
Phone: (360) 882-7373

Authorized Official

Name: MRS. SARAH W DIBLE, MSPT
Title: SOLE MEMBER
Phone: (360) 601-7485

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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