Provider Demographics
NPI:1659196996
Name:HARBOR PERFORMANCE AND REHAB, PLLC
Entity type:Organization
Organization Name:HARBOR PERFORMANCE AND REHAB, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:EMIREN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:423-315-6436
Mailing Address - Street 1:4105 66TH ST
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-8311
Mailing Address - Country:US
Mailing Address - Phone:423-315-6436
Mailing Address - Fax:
Practice Address - Street 1:2619 JAHN AVE NW BLDG G
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-7972
Practice Address - Country:US
Practice Address - Phone:423-315-6436
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-21
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy