Individual
BEN GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CO
Contact information
Practice address
1901 SOUTH UNION AVE, #B-6007, TACOMA, WA 98405-1806
(253) 383-0094
(253) 383-0669
Mailing address
1901 SOUTH UNION, #B-6007, TACOMA, WA 98405-1806
(253) 383-0094
(253) 383-0669
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
CO004897
WA
225000000X
Orthotic Fitter
CO004897
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/10/2009
Last updated
01/10/2012
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