Individual
THOMAS BROSELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPO
Contact information
Practice address
800 E CHESTNUT ST, SUITE 3C, BELLINGHAM, WA 98225-5241
(360) 734-0298
(360) 734-9679
Mailing address
1300 44TH ST SE, EVERETT, WA 98203-2200
(425) 339-2559
(425) 339-1583
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
OI00000090
WA
224P00000X
Prosthetist
PS00000089
WA
Other
Enumeration date
04/30/2010
Last updated
05/03/2010
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