Individual
JENNIFER ANNA PHAN PREWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
16030 BOTHELL EVERETT HWY STE 200, MILL CREEK, WA 98012-1273
(425) 745-4910
(425) 338-5709
Mailing address
16030 BOTHELL EVERETT HWY STE 200, MILL CREEK, WA 98012-1273
(425) 745-4910
(425) 338-5709
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60612231
WA
2251X0800X
Orthopedic Physical Therapist
PT39197
CA
Other
Enumeration date
07/20/2012
Last updated
10/05/2023
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