| Revita Rehab | |
|
1421 N Mullan Rd Suite B Spokane Valley WA 99206-4051 | |
| (509) 343-3150 | |
| (866) 332-9903 |
| Full Name | Revita Rehab |
|---|---|
| Speciality | Clinic/center |
| Location | 1421 N Mullan Rd, Spokane Valley, Washington |
| Authorized Official Name and Position | Bethany Brown (CLINIC ADMINISTRATOR) |
| Authorized Official Contact | 5093433150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revita Rehab 1421 N Mullan Rd Suite B Spokane Valley WA 99206-4051 Ph: (509) 343-3150 | Revita Rehab 1421 N Mullan Rd Suite B Spokane Valley WA 99206-4051 Ph: (509) 343-3150 |
| NPI Number | 1801124961 |
|---|---|
| Provider Enumeration Date | 12/01/2009 |
| Last Update Date | 03/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801124961 | NPI | - | NPPES |
| 1740264142 | Other | WA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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