Individual
MISS JENNIFER ALEXANDRA PATRICK SANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
5029 EVERGREEN WAY, EVERETT, WA 98203-2826
(425) 252-1642
(425) 258-1824
Mailing address
4220 132ND ST SE, SUITE 101, MILL CREEK, WA 98012-8999
(425) 316-8046
(425) 338-9637
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
06927
OR
225100000X
Physical Therapist
Primary
PT 60386911
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0323688
L & I
WA
01
—
0323707
L & I
WA
01
—
0323859
L & I
WA
01
—
0326947
L & I
WA
Enumeration date
07/10/2012
Last updated
12/04/2014
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