Individual
DEE ANNE DECOSTERD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
916 PACIFIC AVE, EVERETT, WA 98201-4147
(425) 258-7304
Mailing address
916 PACIFIC AVE, EVERETT, WA 98201-4147
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60167269
WA
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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