Individual
JENNIFER PINEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4220 132ND ST SE, STE. 101, MILL CREEK, WA 98012-8999
(425) 686-7655
(425) 341-9060
Mailing address
14518 MANOR WAY, LYNNWOOD, WA 98087-5913
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60356065
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0322306
L & I
WA
01
—
0322307
L & I
WA
01
—
0322324
L & I
WA
01
—
0322351
L & I
WA
Enumeration date
01/20/2014
Last updated
12/04/2014
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