Individual
RYAN GEORGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4560 SE INTERNATIONAL WAY STE 101, MILWAUKIE, OR 97222-4628
(253) 332-0895
Mailing address
229 R ST SE, AUBURN, WA 98002-5825
(253) 332-0895
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
08906
OR
225200000X
Physical Therapy Assistant
Primary
P160031087
WA
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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