Provider Demographics
NPI:1851498760
Name:ONEAL, BRIEANNA J (DPT)
Entity type:Individual
Prefix:
First Name:BRIEANNA
Middle Name:J
Last Name:ONEAL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1188 106TH AVE NE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-8614
Mailing Address - Country:US
Mailing Address - Phone:425-454-4864
Mailing Address - Fax:425-646-3901
Practice Address - Street 1:1107 NE 45TH ST
Practice Address - Street 2:STE 100
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-4690
Practice Address - Country:US
Practice Address - Phone:206-545-7844
Practice Address - Fax:206-545-7843
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2010-04-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAPT00010256225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8863907Medicare PIN
WAG8889763Medicare PIN
WAG8878762Medicare PIN