Individual
JENNIFER THATCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
14229 VINTAGE DR SW, PORT ORCHARD, WA 98367-7393
(360) 536-6735
Mailing address
14229 VINTAGE DR SW, PORT ORCHARD, WA 98367-7393
(360) 536-6735
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160224849
WA
Other
Enumeration date
12/03/2013
Last updated
12/03/2013
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