Individual
TONIANN M. JURGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
THERAPIST
Contact information
Practice address
2445 140TH AVE NE, SUITE B105, BELLEVUE, WA 98005-1879
(425) 644-6328
(425) 644-6295
Mailing address
10219 NE 31ST PL, BELLEVUE, WA 98004-1931
(415) 889-2690
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00003171
WA
Other
Enumeration date
06/09/2006
Last updated
07/08/2007
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