Individual
DR. JESSICA TRUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3928 PACIFIC AVE SE, LACEY, WA 98503-1109
(360) 455-1350
Mailing address
15349 SW MALLARD DR STE 104, BEAVERTON, OR 97007-9450
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60995273
WA
225100000X
Physical Therapist
PTL89399
MA
2251X0800X
Orthopedic Physical Therapist
60995273
WA
2251X0800X
Orthopedic Physical Therapist
PTL89399
MA
Other
Enumeration date
08/21/2019
Last updated
04/14/2026
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