Individual
JESSICA LYNNE HOLLOWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10330 MERIDIAN AVE N, SEATTLE, WA 98133-9451
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60805559
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013462597
—
WA
Enumeration date
08/24/2016
Last updated
01/31/2020
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