Provider Demographics
NPI:1932476660
Name:VRANNA, JAMES ALLAN JR (PT)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:ALLAN
Last Name:VRANNA
Suffix:JR
Gender:M
Credentials:PT
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Mailing Address - Street 1:914 S SCHEUBER ROAD
Mailing Address - Street 2:PROVIDENCE CENTRALIA HOSPITAL
Mailing Address - City:CENTRALIA
Mailing Address - State:WA
Mailing Address - Zip Code:98532
Mailing Address - Country:US
Mailing Address - Phone:360-330-8720
Mailing Address - Fax:360-330-8737
Practice Address - Street 1:914 S SCHEUBER ROAD
Practice Address - Street 2:PROVIDENCE CENTRALIA HOSPITAL
Practice Address - City:CENTRALIA
Practice Address - State:WA
Practice Address - Zip Code:98532
Practice Address - Country:US
Practice Address - Phone:360-330-8720
Practice Address - Fax:360-330-8737
Is Sole Proprietor?:No
Enumeration Date:2011-11-23
Last Update Date:2011-12-05
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Provider Licenses
StateLicense IDTaxonomies
WAPT00007984225100000X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic