Individual
JAY MICHAEL VAN BOCKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2701 CLARE AVE, BREMERTON, WA 98310-3313
(360) 377-3951
(360) 377-5443
Mailing address
7643 MERASTONE LN NE, A-203, BREMERTON, WA 98311-8834
(337) 258-9870
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
P160046920
WA
Other
Enumeration date
05/19/2009
Last updated
05/19/2009
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