Individual
BRENTON JOSE SPRAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15906 MILL CREEK BLVD STE 106, MILL CREEK, WA 98012-1797
(425) 332-1030
Mailing address
19818 28TH AVE W, LYNNWOOD, WA 98036-6910
(425) 239-6330
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
WA
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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