Individual
MR. BRYCE CAMERON ELLGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
702 S PARK ST, DEER PARK, WA 99006-7025
(509) 276-2005
(509) 276-5550
Mailing address
6015 W CROWCHIEF CT, SPOKANE, WA 99208-9312
(509) 448-9358
(509) 448-5973
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60290555
WA
Other
Enumeration date
08/08/2012
Last updated
12/05/2016
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