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Jaclyn Nicole Tarnowski, PTA

Physical Therapy Assistant in Arthur, ND. Individual provider (NPI-1).

NPI number1679926331
StatusActive
Last updated in NPPESJul 18, 2016

Details

NPI
1679926331
Entity type
Individual (NPI-1)
Name
Jaclyn Nicole Tarnowski
Credential
PTA
Sex
Female
Sole proprietor
No
Enumeration date
Jul 18, 2016
Last updated
Jul 18, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant1179NDYes

Practice location

150 County Road 34
Arthur, ND 58006-4102

Phone 701-967-8316

Mailing address

25117 Sw Parkway Ave Ste D
Wilsonville, OR 97070-9697

Phone 503-570-3665

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