Individual
JENNIFER LYN VASILOFF
Active
Individual
JENNIFER LYN VASILOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
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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