Individual
JILL MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
3801 KERN WAY, YAKIMA, WA 98902-6340
(509) 574-3200
Mailing address
2505 RACQUET LN, YAKIMA, WA 98902-6114
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60722671
WA
Other
Enumeration date
05/16/2017
Last updated
04/11/2023
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