Organization
JAMES M GREEN PS
Active
Other names
Bremerton Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES M GREEN P.T. (OWNER/PHYSICAL THERAPIST)
(360) 377-3395
Entity
Organization
Contact information
Practice address
900 SHERIDAN RD., #109, BREMERTON, WA 98310-2701
(360) 377-3395
(360) 792-1249
Mailing address
900 SHERIDAN RD., #109, BREMERTON, WA 98310-2701
(360) 377-3395
(360) 792-1249
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00002393
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0197563
STATE L&I
WA
01
—
190150200
FEDERAL DEPT OF LABOR
WA
05
—
8141202
—
WA
05
—
WA7267008
—
WA
Enumeration date
06/23/2007
Last updated
11/12/2008
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