Provider Demographics
NPI:1568871408
Name:HOSMAN, JANE
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:
Last Name:HOSMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7728 204TH ST NE
Mailing Address - Street 2:#A
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223-2500
Mailing Address - Country:US
Mailing Address - Phone:360-403-8250
Mailing Address - Fax:360-403-0917
Practice Address - Street 1:4220 132ND ST SE
Practice Address - Street 2:SUITE 101
Practice Address - City:MILL CREEK
Practice Address - State:WA
Practice Address - Zip Code:98012-8999
Practice Address - Country:US
Practice Address - Phone:425-316-8046
Practice Address - Fax:425-338-9637
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-05
Last Update Date:2014-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT60469058225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist