Individual
JENNIFER MARIE SONG-HOI BOUVAGNET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
17331 E 40 HWY STE 105, INDEPENDENCE, MO 64055-6444
(816) 478-2333
Mailing address
6050 TACOMA MALL BLVD STE 300, TACOMA, WA 98409-6828
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
CP044449T
MO
Other
Enumeration date
08/07/2024
Last updated
06/09/2025
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