Individual
JENNIFER SUPOWIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
10416 5TH AVE NE, SEATTLE, WA 98125-7402
(206) 517-6700
Mailing address
10416 5TH AVE NE, SEATTLE, WA 98125-7402
(206) 517-6700
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT60567536
WA
Other
Enumeration date
05/01/2009
Last updated
02/14/2020
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