Individual
GREG AWALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
835 MADISON AVE N, BAINBRIDGE ISLAND, WA 98110-1700
(206) 842-4765
Mailing address
835 MADISON AVE N, BAINBRIDGE ISLAND, WA 98110-1700
(206) 842-4765
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
60132929
WA
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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