Individual
BRIAN JAMES KITZEROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2005 W MAIN ST STE 140, BATTLE GROUND, WA 98604-4311
(360) 882-2778
Mailing address
PO BOX 4825, PORTLAND, OR 97208-4825
(360) 882-2778
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05889
OR
225100000X
Physical Therapist
Primary
PT60682696
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2091984
—
WA
Enumeration date
01/20/2010
Last updated
03/02/2023
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