ZACHARY JACKSON

MOUNTLAKE TERRACE, WA
NPI1497390744
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: WA  P1.60984193)
Enumeration Date2019-11-11
Last Update Date2019-11-11
Business Address
ZACHARY JACKSON PTA
23008 56TH AVE W
MOUNTLAKE TERRACE, WA 98043-4754
Phone number: 425-678-6008
Mailing Address
ZACHARY JACKSON PTA
1821 25TH AVE E
SEATTLE, WA 98112-3007
Phone number: 206-504-4096
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