Doctor Name: | JESSICA MENDOZA |
NPI Number: | 1225332810 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT60169486 |
Business Practice Address: | 3600 Lind Ave Sw Ste 160 Renton, WA - 980574934 |
Business Phone Number: | 4256564215 |
Business Fax Number: | 4256565075 |
Mailing Address: | 3600 Lind Ave Sw Ste 160, RENTON |
State: | WA |
Postal Code: | 980574934 |
Phone Number: | 4256564215 |
Fax Number: | 4256565075 |
NPI Enumeration Date: | 12/22/2010 |
NPI Last Update Date: | 12/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT60169486 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |