Individual
MR. GARY JAMES MAGUIRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
4220 132ND ST SE, SUITE 101, MILL CREEK, WA 98012-8999
(425) 357-9380
(425) 357-9382
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00005702
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0052459
L & I
WA
01
—
0305474
L & I
WA
01
—
0305483
L & I
WA
01
—
0305497
L & I
WA
01
—
0305498
L & I
WA
05
—
8339913
—
WA
Enumeration date
07/21/2006
Last updated
06/05/2024
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