Individual
MR. DAVID ROBERT GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2319 N 45TH ST, SUITE 301, SEATTLE, WA 98103-6982
(206) 527-8628
(206) 527-8648
Mailing address
PO BOX 15627, SEATTLE, WA 98115-0627
(206) 527-8628
(206) 527-8648
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5464
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0201568
LABOR AND INDUSTRY
WA
01
—
1136229
CAQH
—
01
—
167753167755
PREMERA
WA
01
—
5623609
FIRST HEALTH
WA
01
—
60607
FIRST CHOICE
WA
01
—
7775192
AETNA
—
Enumeration date
10/06/2006
Last updated
08/20/2010
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