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Individual

BRYAN DOUGLAS WESTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
8645 MARTIN WAY E, SUITE 103, LACEY, WA 98516-5851
(360) 491-3900
(360) 491-3909
Mailing address
4040 ORCHARD ST W, SUITE 100, FIRCREST, WA 98466-6606
(253) 564-1560
(253) 564-4449

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00010188
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8458937
WA
Enumeration date
07/28/2006
Last updated
10/12/2007
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