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Individual

KENNETH J COOMBS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1305 ALEXANDER ST, CENTRALIA, WA 98531-1305
(136) 073-6408
(136) 080-7214
Mailing address
1720 JUNEMAN ST, CENTRALIA, WA 98531-3363
(136) 033-0519

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
322792-2401
UT
225100000X
Physical Therapist
Primary
PT00008200
WA

Other

Enumeration date
05/29/2008
Last updated
05/29/2008
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