BRIAN BLACK

SEATTLE, WA
NPI1912776675
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WA  P1.160852132)
Enumeration Date2023-12-22
Last Update Date2023-12-22
Business Address
BRIAN BLACK PTA
820 NW 95TH ST
SEATTLE, WA 98117-2207
Phone number: 206-782-0100
Mailing Address
BRIAN BLACK PTA
1711 E OLIVE WAY APT 417
SEATTLE, WA 98102-5684
Phone number: 206-979-7939
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