Revita Rehab North LLC

NPI #1457618902 in Spokane, Washington

Provider Information

NPI Number: 1457618902
Entity Type: Organization
Organization Name: Revita Rehab North LLC
Primary Specialty: Physical Therapist
Enumeration Date: Apr 20, 2012
Last Updated: Jun 15, 2012

Practice Location

Address: 203 E DALKE AVE
Address 2: SUITE B
City: Spokane
State: Washington
ZIP Code: 99208-8112
Phone: (509) 489-4249

Authorized Official

Name: BETH ELMORE
Title: OFFICE MANAGER
Phone: (509) 489-4249

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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