Individual
JESSICA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1111 S 376TH ST, MILTON, WA 98354-5501
(253) 661-3651
Mailing address
706 3RD ST, STEILACOOM, WA 98388-1714
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2141269
TX
225200000X
Physical Therapy Assistant
Primary
61078052
WA
Other
Enumeration date
11/05/2019
Last updated
07/30/2020
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