Jordan Agtarap

NPI #1003578063 in Tumwater, Washington

Provider Information

NPI Number: 1003578063
Entity Type: Individual
Name: Jordan Agtarap
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Oct 7, 2021
Last Updated: Oct 7, 2021

Practice Location

Address: 5765 LITTLEROCK RD SW STE 107
City: Tumwater
State: Washington
ZIP Code: 98512-7311
Phone: (564) 999-4146

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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