BRENT PROCTOR

OLYMPIA, WA
NPI1386927010
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: WA  00002404)
Enumeration Date2011-09-20
Last Update Date2011-09-20
Business Address
-- BRENT PROCTOR PT
420 LILLY RD NE 103
OLYMPIA, WA 98506-5184
Phone number: 360-459-0260
Mailing Address
-- BRENT PROCTOR PT
2104 E LAFAYETTE PL
MILWAUKEE, WI 53202-1331
Phone number:
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