Individual
MR. BRAD A. PAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1401 EASTSIDE ST SE, OLYMPIA, WA 98501-2408
(360) 753-8164
Mailing address
3104 LORNE ST SE, OLYMPIA, WA 98501-3420
(360) 352-4242
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00006520
WA
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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