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Individual

MR. JONATHAN P. JOVE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPT

Contact information

Practice address
3000 LIMITED LN NW STE 100, OLYMPIA, WA 98502-2704
(253) 350-1869
(360) 292-7247
Mailing address
3000 LIMITED LN NW STE 101, OLYMPIA, WA 98502-2704
(253) 350-1869

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00007469
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0180964
DEPT. OF L&I
WA
01
1725JO
REGENCE
WA
05
8384067
WA
01
91-1463799
TAX ID
WA
Enumeration date
02/21/2007
Last updated
09/16/2011
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