Individual
MR. JEROME E SCANLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
22007 MARINE VIEW DR S, SUITE 203, DES MOINES, WA 98198-6259
(206) 592-0568
(206) 592-0583
Mailing address
22007 MARINE VIEW DR S, SUITE 203, DES MOINES, WA 98198-6259
(206) 592-0568
(206) 592-0583
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
WA
Other
Enumeration date
12/20/2006
Last updated
07/08/2007
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