Elite Rehabilitation Medicine Pllc
NPI #1841982642 in Washougal, Washington
Provider Information
- NPI Number
- 1841982642
- Entity Type
- Organization
- Organization Name
- Elite Rehabilitation Medicine Pllc
- Primary Specialty
- Physical Medicine & Rehabilitation
- Enumeration Date
- May 22, 2023
- Last Updated
- May 22, 2023
Practice Location
- Address
- 905 SE 345TH AVE
- City
- Washougal
- State
- Washington
- ZIP Code
- 98671-9542
- Phone
- (360) 910-3414
Authorized Official
- Name
- JAMIE NICACIO, MD
- Title
- OWNER
- Phone
- (360) 910-3414
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Medicine & Rehabilitation |
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