Individual
JAMIE RENAE BOLLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 LOGAN AVE S, RENTON, WA 98057-2039
(206) 856-9305
Mailing address
23231 SE 57TH ST, ISSAQUAH, WA 98029-8905
(425) 677-4155
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
61137747
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346610516
EMPLOYER
WA
Enumeration date
07/21/2021
Last updated
07/21/2021
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