JODY THOMAS BANCROFT

VANCOUVER, WA
NPI1841702123
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: WA  p160775448)
Enumeration Date2017-10-26
Last Update Date2017-10-26
Business Address
JODY THOMAS BANCROFT PTA
8507 NE 8TH WAY
VANCOUVER, WA 98664-1980
Phone number: 360-254-5335
Mailing Address
JODY THOMAS BANCROFT PTA
115 E 35TH ST
VANCOUVER, WA 98663-2206
Phone number: