Individual
JORDAN SASIELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2689 HOOVER AVE SE, PORT ORCHARD, WA 98366-3013
(360) 874-7000
Mailing address
3105 COUNTRY KNOLL DR, SAINT CHARLES, MO 63303-6342
(636) 696-6888
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2017003438
MO
225100000X
Physical Therapist
Primary
PT60967216
WA
Other
Enumeration date
11/01/2019
Last updated
11/01/2019
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