Individual
GEORGE BRETT NIRIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S., PT
Contact information
Practice address
402 15TH AVE SE, #100, PUYALLUP, WA 98372-3709
(253) 697-5200
(253) 697-5145
Mailing address
402 15TH AVE SE, #100, PUYALLUP, WA 98372-3709
(253) 697-5200
(253) 697-5145
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00003606
WA
Other
Enumeration date
01/22/2007
Last updated
07/08/2007
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