Individual
JENNIFER LYNN IRONSIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
7308 BRIDGEPORT WAY W, SUITE 103, LAKEWOOD, WA 98499-8000
(253) 582-8142
(253) 582-8160
Mailing address
4040 ORCHARD ST W, SUITE 100, FIRCREST, WA 98466-6606
(253) 564-1560
(253) 564-4449
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60252447
WA
Other
Enumeration date
02/08/2012
Last updated
11/18/2013
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