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General NPI Number Information
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NPI Number | 1255409850
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Entity Type | Organization
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Legal Business Name | CENTRAL HAND THERAPY, PC
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 08/30/2012
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Provider Practice Location Address
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Address Line | 100 E JACKSON AVE SUITE 200
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City | ELLENSBURG
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State | WA
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Zip | 98926
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Country | US
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Telephone | 509-962-1132
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Fax | 866-365-5203
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Provider Business Mailing Address
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Address Line | PO BOX 11009
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City | OLYMPIA
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State | WA
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Zip | 98508-1009
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Country | US
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Telephone | 360-352-2037
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Fax | 360-352-0637
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JARED RYAN RATTRAY
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Credential | OTR/L
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Telephone | 509-962-1132
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | OT00003293
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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