Individual
JESSICA ANN PARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT, OCS
Contact information
Practice address
510 8TH AVE NE STE 340, ISSAQUAH, WA 98029-5449
(425) 313-3051
(425) 313-3055
Mailing address
510 8TH AVE NE STE 320, ISSAQUAH, WA 98029-5436
(425) 313-3051
(425) 625-3517
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT00009591
WA
2251S0007X
Sports Physical Therapist
PT00009591
WA
2251X0800X
Orthopedic Physical Therapist
Primary
PT00009591
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024073
—
WA
Enumeration date
11/09/2006
Last updated
10/19/2020
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