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BRIAN BLACK PTA

Individual Provider (NPI-1) Active

Physical Therapy Assistant

Provider Information

NPI Number
1912776675
Provider Type
Individual Provider (NPI-1)
Credentials
PTA
Status
Active

Contact & Location

Address
820 NW 95TH ST, SEATTLE, WA, 981172207
Phone
(206) 782-0100

Specialties & Taxonomies

Physical Therapy Assistant Primary License: WA #P1.160852132

All Addresses

MAILING

1711 E OLIVE WAY APT 417

SEATTLE, WA, 981025684

(206) 979-7939

LOCATION

820 NW 95TH ST

SEATTLE, WA, 981172207

(206) 782-0100