Individual
JILL JANDREAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
11036 8TH AVE NE, SEATTLE, WA 98125-6171
(206) 850-2511
Mailing address
PO BOX 75324, SEATTLE, WA 98175-0324
(206) 850-2511
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8342
WA
2251E1200X
Ergonomics Physical Therapist
8342
WA
2251N0400X
Neurology Physical Therapist
8342
WA
2251X0800X
Orthopedic Physical Therapist
8342
WA
Other
Enumeration date
02/23/2009
Last updated
12/17/2010
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