Individual
MR. BRIAN ERIC LAVALLEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
6356 38TH AVE SW, SEATTLE, WA 98126-3026
(206) 890-2256
Mailing address
6356 38TH AVE SW, SEATTLE, WA 98126-3026
(206) 890-2256
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05581
OR
225100000X
Physical Therapist
Primary
PT60160912
WA
Other
Enumeration date
01/24/2008
Last updated
11/03/2010
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