Individual
JESSICA MIAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-7556
(253) 968-1157
Mailing address
1824 VICENTE ST, SAN FRANCISCO, CA 94116-2922
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
10/03/2024
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