Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | PT60453376 | WA |
NPI | 1134424773 |
---|---|
Provider Name | Jaime Jozwiak Kemery |
First Address | Kent, WA 98030-7108 |
Second Address | Kent, WA 98030 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/01/2011 |
Last Update Date | 06/09/2019 |