Individual
MISS JESSICA CRAIK MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT38739
CA
225100000X
Physical Therapist
Primary
PT60231770
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT60231770
PHYSICAL THERAPIST LICENSE
WA
Enumeration date
06/29/2009
Last updated
09/29/2023
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