Individual
JENNIFER VICTORIA TANNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1810 11TH ST, BREMERTON, WA 98337-1113
(708) 663-8730
Mailing address
1810 11TH ST, BREMERTON, WA 98337-1113
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
09570
OR
225200000X
Physical Therapy Assistant
60734974
WA
225200000X
Physical Therapy Assistant
Primary
PTA49220
CA
Other
Enumeration date
12/09/2018
Last updated
12/09/2018
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