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Individual

KELI KOISTINEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
1308 NE 134TH STREET, SUITE 110, VANCOUVER, WA 98685
(360) 573-2266
Mailing address
1308 NE 134TH STREET, SUITE 110, VANCOUVER, WA 98685
(360) 573-2266
(360) 573-1502

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
09155
OR
225200000X
Physical Therapy Assistant
Primary
P160480023
WA

Other

Enumeration date
11/16/2017
Last updated
11/16/2017
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