Derham, Jennifer Lee

Derham, Jennifer Lee is an individual health care provider with primary practice located at 7728 204Th St. Ne #A, Arlington WA 98223. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Derham, Jennifer Lee can be contacted via phone (360) 403-8250.

Contact Information

Primary practice address
7728 204Th St. Ne #A Arlington WA 98223
Phone: (360) 403-8250
Fax: (360) 403-0917
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 7452 Arizona
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT00010288 Washington

Profile Details

NPI number 1720124357
LBN Legal business name Derham, Jennifer Lee
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 30th, 2007
Last updated Nov 14th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720124357 NPPES
Washington Other 226582 L&I
Washington Other 8841BE L&I
Washington Other 8156BE L&I
Washington Other 8946137 L&I
Washington Other 8869473 L&I
Washington Other 3317BE L&I
Washington Other 8498560 L&I
Washington Other 9788127 L&I
Washington Other P00608949 L&I
Washington Other 6417BE L&I

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