Individual
JAIME MCCANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2901 174TH ST NE, MARYSVILLE, WA 98271-4743
(360) 454-1900
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 258-3900
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60455157
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2039954
—
WA
Enumeration date
09/08/2014
Last updated
06/17/2015
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