Individual
JENNIFER C WALLERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
925 8TH AVE N, SEATTLE, WA 98109-6304
(206) 631-2818
(206) 631-2819
Mailing address
925 8TH AVE N, SEATTLE, WA 98109-6304
(206) 631-2818
(206) 631-2819
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00010218
WA
Other
Enumeration date
10/04/2006
Last updated
09/10/2014
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