MS. Jacqueline Tully
MS. Jacqueline Tully is a Physical Therapist in Vancouver, Washington. Licensed in Oregon and Washington. Registered with an NPI since 2016.
- Licensed in
- OR, WA
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
13115 NE 4th St Ste 100Vancouver, WA 98684-5957
Phone: (360) 696-1070
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Specialties & licences
| Physical Therapist (primary) | Taxonomy 225100000X · Licence P1 60033939 (WA) |
|---|---|
| Physical Therapist | Taxonomy 225100000X · Licence 07481 (OR) |
Record details
| NPI number | 1770936320 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 19, 2016 |
| Last updated in NPPES | July 25, 2016 |
| Mailing address | 13115 Ne 4th St, Suite 100, Vancouver, WA 98684-5957 |
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