Individual
MR. ALI JAFFERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
25012 104TH AVE SE, STE C, KENT, WA 98030-2821
(253) 856-3477
(253) 856-3478
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 60563979
WA
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007205
LICENSE#
CT
Enumeration date
08/29/2006
Last updated
07/29/2015
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