JACK URIAH TEAGUE

BOTHELL, WA
NPI1992845192
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: WA  PT00000652)
Enumeration Date2007-02-07
Last Update Date2008-04-11
Business Address
-- JACK URIAH TEAGUE p.t.
18107 BOTHELL WAY NE SUITE 106
BOTHELL, WA 98011-1900
Phone number: 425-487-3142
Mailing Address
-- JACK URIAH TEAGUE p.t.
9209 126TH AVE NE
KIRKLAND, WA 98033-5901
Phone number: 425-827-4758
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