Individual
JEANIE AGREGADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
418 17TH ST SE, UNIT 6-E, AUBURN, WA 98002-6884
(206) 818-4601
Mailing address
418 17TH ST SE, UNIT 6-E, AUBURN, WA 98002-6884
(206) 818-4601
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160054699
WA
Other
Enumeration date
03/28/2014
Last updated
03/28/2014
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