Individual
JESSICA LE ANNE FISHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A, L.M.P
Contact information
Practice address
2505 2ND AVE, 100, SEATTLE, WA 98121-1452
(206) 624-4020
Mailing address
2505 2ND AVE, SUITE 100, SEATTLE, WA 98121
(206) 624-4020
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
MA60180214
WA
225200000X
Physical Therapy Assistant
Primary
P160657620
WA
Other
Enumeration date
11/05/2010
Last updated
09/08/2016
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