NPI 1316287402

Physical Rehabilitation & Wellness Center, PLLC

Organisation Non-Pharmacy Dispensing Site Everett, WA

Practice location

Address: 919 128th St SW, Everett, WA 98204-6315
Phone: (310) 474-9809
Mailing address: 2980 N Beverly Glen Cir Suite 100, Los Angeles, CA 90077-1726

Authorised official

Name: Mohammad Shegeft
Title: Medical Director
Phone: (310) 474-9809

Registered specialties

Non-Pharmacy Dispensing Site Primary

Suppliers Taxonomy 332900000X

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Registry record

NPI: 1316287402
Entity type: Organization
NPI issued: 26 Feb 2013
Record last updated: 5 Oct 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.