Individual
JESSICA BARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
525 S SANDALWOOD PL, MOSES LAKE, WA 98837-9148
(208) 716-1366
(509) 488-0818
Mailing address
525 S SANDALWOOD PL, MOSES LAKE, WA 98837-9148
(208) 716-1366
(509) 488-0818
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P1 60242042
WA
Other
Enumeration date
03/06/2014
Last updated
03/06/2014
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