Individual
JORDAN MUGARURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT, CSCS
Contact information
Practice address
1100 N 35TH ST, SEATTLE, WA 98103-8906
(206) 309-3966
Mailing address
1100 N 35TH ST, SEATTLE, WA 98103-8906
(206) 390-3966
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT61333125
WA
Other
Enumeration date
08/22/2022
Last updated
08/22/2022
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