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Individual
JESSICA BERNARD
Active
Individual
JESSICA BERNARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60622615
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275992877
—
WA
01
—
P01687406
RR MEDICARE
WA
Enumeration date
02/11/2016
Last updated
03/06/2019
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