Individual
JESSICA SUE PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
4320 196TH ST SW, SUITE A, LYNNWOOD, WA 98036-6773
(425) 967-0051
Mailing address
4320 196TH ST SW, SUITE A, LYNNWOOD, WA 98036-6773
(425) 967-0051
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160033940
WA
Other
Enumeration date
10/28/2010
Last updated
10/28/2010
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