Individual
DR. GREGORY T WELLMAN
Active
Individual
DR. GREGORY T WELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00009243
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1440WE
REGENCE BLUESHIELD
WA
01
—
174404
LABOR & INDUSTRIES
WA
05
—
8371098
—
WA
01
—
8930587
L&I CRIME VICTIMS PROGRAM
WA
Enumeration date
06/09/2006
Last updated
08/24/2010
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