Individual
BRAD CALLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
405 NW GILMAN BLVD, SUITE 200, ISSAQUAH, WA 98027-2470
(425) 392-6804
(425) 392-6805
Mailing address
1188 106TH AVE NE, SUITE 100, BELLEVUE, WA 98004-8614
(425) 454-4864
(425) 646-3901
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00008322
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7131931
—
WA
Enumeration date
06/02/2006
Last updated
03/14/2012
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