Individual
JORDAN KUMASAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
720 12TH ST SE, AUBURN, WA 98002-6708
(253) 735-3606
(253) 351-9807
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(253) 735-3606
(253) 351-9807
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
WA
Other
Enumeration date
07/10/2018
Last updated
07/10/2018
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