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Organization
G4 ATHLETE LLC
Active
Organization
G4 ATHLETE LLC
Active
Other names
G4 Athlete
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRENT M GEORGE MPT (PHYSICAL THERAPIST/CLINIC OWNER)
(206) 518-9405
Entity
Organization
Contact information
Practice address
2737 77TH AVE SE, SUITE 214, MERCER ISLAND, WA 98040-2830
(206) 518-9405
(855) 819-0086
Mailing address
2737 77TH AVE SE, SUITE 214, MERCER ISLAND, WA 98040-2830
(206) 518-9405
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
603186027
WA
Other
Enumeration date
08/18/2014
Last updated
08/18/2014
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