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Individual

BROCK JAMES GIANNARIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
22500 NE MARKETPLACE DR, SUITE 204, REDMOND, WA 98053-2033
(425) 836-1034
(425) 836-1037
Mailing address
1519 132ND ST SE, SUITE A, EVERETT, WA 98208-7203
(425) 357-9380
(425) 357-9382

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60310775
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0302980
L & I
WA
01
0302984
L & I
WA
01
0303013
L & I
WA
01
0303035
L & I
WA
Enumeration date
11/26/2012
Last updated
05/08/2013
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