Individual
GEORGINA J AZZAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15614 MERIDIAN E STE 100, PUYALLUP, WA 98375-5100
(253) 840-5511
(253) 840-0835
Mailing address
2001 BUTTERFIELD RD STE 1600, DOWNERS GROVE, IL 60515-1211
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
MD
225100000X
Physical Therapist
—
WA
Other
Enumeration date
08/22/2024
Last updated
05/21/2025
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