Individual
JENNIFER ANN TABOR
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
4700 POINT FOSDICK DR NW, SUITE 213, GIG HARBOR, WA 98335-1706
(253) 851-5718
(253) 853-6922
Mailing address
1521 S ADAMS ST, TACOMA, WA 98405-2026
(253) 761-1610
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00008248
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8337016
—
WA
Enumeration date
06/24/2006
Last updated
07/08/2007
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