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Individual

JENNIFER LYN VASILOFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
17650 140TH AVE SE STE B7, RENTON, WA 98058-6814
(425) 430-0700
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(866) 370-8206

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
CP014892T
CO
225100000X
Physical Therapist
P20665
NC
225100000X
Physical Therapist
Primary
PT61431802
WA

Other

Enumeration date
09/15/2021
Last updated
06/19/2024
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