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Individual

BRENT E WINTERBOTTOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
55 W TIETAN ST, WALLA WALLA, WA 99362-4445
(509) 525-3720
(509) 522-1593
Mailing address
55 W TIETAN ST, WALLA WALLA, WA 99362-4445
(509) 525-3720
(509) 522-1593

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60389206
WA

Other

Enumeration date
04/07/2015
Last updated
07/21/2022
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