Individual
JAROD PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
7520 TOTEM BEACH RD, TULALIP, WA 98271-6160
(360) 716-4511
Mailing address
1060 VIOLA RD, VIOLA, ID 83872-9607
(208) 669-0816
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT61186581
WA
Other
Enumeration date
09/03/2021
Last updated
09/03/2021
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