Individual
MR. GREGORY MARK ANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMP
Contact information
Practice address
1560 140TH AVE NE, STE. 100, BELLEVUE, WA 98005-4571
(206) 399-5617
Mailing address
2617 NW 64TH ST APT 3, SEATTLE, WA 98107-2457
(206) 399-5617
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60376553
WA
Other
Enumeration date
08/24/2009
Last updated
12/24/2014
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