Individual
MR. JAY W VANDERMEER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3014 90TH ST SE, EVERETT, WA 98208-3619
(425) 876-5342
Mailing address
3014 90TH ST SE, EVERETT, WA 98208-3619
(425) 876-5342
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 00003933
WA
Other
Enumeration date
12/20/2012
Last updated
12/20/2012
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