Individual
BRIAN SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1334 TERRY AVE, SEATTLE, WA 98101-2747
(206) 922-6780
Mailing address
1334 TERRY AVE, SEATTLE, WA 98101-2747
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60662206
WA
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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