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Jane Gichero

Physical Therapy Assistant in Olympia, WA. Individual provider (NPI-1).

NPI number1235683103
StatusActive
Last updated in NPPESAug 9, 2016

Details

NPI
1235683103
Entity type
Individual (NPI-1)
Name
Jane Gichero
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 9, 2016
Last updated
Aug 9, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy AssistantP1 60658607WAYes

Practice location

4001 Capital Mall Dr Sw
Olympia, WA 98502-8657

Phone 360-754-9792 · Fax 360-754-2455

Mailing address

2500 S 272nd St Apt C35
Kent, WA 98032-7970

Phone 913-526-0712

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