Healthcare Provider Details

I. General information

NPI: 1306870365
Provider Name (Legal Business Name): INTEGRATED REHABILITATION GROUP INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1830 BICKFORD AVE SUITE 209
SNOHOMISH WA
98290-1749
US

IV. Provider business mailing address

1830 BICKFORD AVE SUITE 209
SNOHOMISH WA
98290-1749
US

V. Phone/Fax

Practice location:
  • Phone: 425-330-0633
  • Fax: 360-568-7779
Mailing address:
  • Phone: 425-330-0633
  • Fax: 360-568-7779

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number
License Number StateWA

VIII. Authorized Official

Name: PAT WHITRIGHT
Title or Position: CLINIC MANAGER-HAND THERAPIST
Credential: OT
Phone: 360-568-7774