Individual
JESSICA ANTHONY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
7800 NE BOTHELL WAY STE 155, KENMORE, WA 98028-1830
(425) 420-5060
Mailing address
17308 3RD AVE SE, BOTHELL, WA 98012-9151
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA60581875
WA
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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