Individual
BRIAN T SUNDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5367
OR
225100000X
Physical Therapist
PT00008548
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
151355
LABOR & INDUSTRIES
WA
01
—
5743SU
REGENCE BLUESHIELD
WA
05
—
8347015
—
WA
01
—
8930584
L&I CRIME VICTIMS PROGRAM
WA
Enumeration date
06/16/2006
Last updated
09/06/2022
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