Individual
MS. JESSICA LYNN MOREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
25117 SW PARKWAY AVE, SUITE D, WILSONVILLE, OR 97070-9697
(503) 570-3665
Mailing address
464 SHELTON PL NE, RENTON, WA 98056-8553
(920) 427-2204
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
248-019
WI
225200000X
Physical Therapy Assistant
Primary
P160500560
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40280500
—
WI
Enumeration date
05/02/2007
Last updated
11/04/2014
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