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NPI Code Detail

MEDICARE: JENNIFER SANTOS MARSTON PT

MEDICARE: JENNIFER SANTOS MARSTON PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT00008508WA
2225100000XPhysical Therapist1231463TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18949742OTHERWAL & I CRIME VICTIMS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841283777
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER SANTOS MARSTON PT
Provider Business Mailing Address
First Line : 700 NE 87TH AVE
Second Line :
City : VANCOUVER
State : WA
Zip : 98664-1913
Country : US
Telephone Number : 360-882-2778
Fax Number : 360-604-1757
Provider Business Practice Location Address
First Line : 700 NE 87TH AVE
Second Line : STE. 350
City : VANCOUVER
State : WA
Zip : 98664-1913
Country : US
Telephone Number : 360-882-2778
Fax Number : 360-604-1757
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2005
Last Update Date : 01/23/2014

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Directions to “ JENNIFER SANTOS MARSTON PT” Practice Location

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