Individual
JILL CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
710 N 39TH AVE, YAKIMA, WA 98902-6342
(509) 248-4102
Mailing address
3503 MARKS RD, YAKIMA, WA 98903-9733
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 60420515
WA
Other
Enumeration date
10/25/2013
Last updated
10/25/2013
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