Individual
C BRUCE PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22757 72ND AVE S, STE 102, KENT, WA 98032-2459
(253) 872-4118
Mailing address
4031 49TH AVE SW, SEATTLE, WA 98116-3608
(206) 938-7555
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT00008848
LICENSE#
WA
Enumeration date
08/29/2006
Last updated
07/08/2007
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