Healthcare Provider Details

I. General information

NPI: 1780919118
Provider Name (Legal Business Name): ELECTRODIAGNOSIS & REHABILITATION ASSOCIATES OF TACOMA, PS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2009
Last Update Date: 08/18/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34617 11TH PL S SUITE 101
FEDERAL WAY WA
98003-8706
US

IV. Provider business mailing address

2201 S 19TH ST SUITE 104
TACOMA WA
98405-2962
US

V. Phone/Fax

Practice location:
  • Phone: 253-927-8008
  • Fax: 253-572-0468
Mailing address:
  • Phone: 253-272-9994
  • Fax: 253-572-0468

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: DR. MOHAMMAD A SAEED
Title or Position: PRESIDENT
Credential: MD
Phone: 253-272-9994