Individual
JESSICA HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3710 168TH ST NE, ARLINGTON, WA 98223-8461
(360) 658-8100
Mailing address
12509 54TH AVE SE, SNOHOMISH, WA 98296-8937
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
P160266905
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P160266905
PTA LICENSE
WA
Enumeration date
09/12/2022
Last updated
09/12/2022
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