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Individual

GREGORY CHARLES HUEFNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSPT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00006530
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0202947
DEPT OF LABOR AND INDUSTRIES (L&I)
WA
05
1008130
WA
05
8440414
WA
Enumeration date
01/27/2006
Last updated
02/14/2022
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