Individual
MRS. JENNIFER BURNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1100 ROOSEVELT AVE STE D, MOUNT VERNON, WA 98273-2427
(360) 336-3432
Mailing address
4105 RIDGEWOOD AVE, BELLINGHAM, WA 98229-2534
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P1 60200252
WA
Other
Enumeration date
08/11/2015
Last updated
08/11/2015
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