Individual
JENNIFER ROMANOWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2525 NE PARK DR, SUITE C, ISSAQUAH, WA 98029-2642
(425) 686-7654
(425) 341-9041
Mailing address
4220 132ND ST SE, SUITE 101, MILL CREEK, WA 98012-8999
(425) 357-9380
(425) 357-9382
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305207766
VA
225100000X
Physical Therapist
PT02256
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0363889
L & I
WA
01
—
0367920
L & I
WA
01
—
0367976
L & I
WA
01
—
0367978
L & I
WA
Enumeration date
10/20/2009
Last updated
04/03/2017
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