Avamere Outpatient Services, LLC

NPI #1710151311 in Bothell, Washington

Provider Information

NPI Number: 1710151311
Entity Type: Organization
Organization Name: Avamere Outpatient Services, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Apr 15, 2008
Last Updated: May 22, 2012

Practice Location

Address: 18107 BOTHELL WAY NE
Address 2: SUITE 106
City: Bothell
State: Washington
ZIP Code: 98011-1900
Phone: (425) 487-3142

Authorized Official

Name: RICK MCDANIEL
Title: PRESIDENT
Phone: (888) 757-3422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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