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Individual

KRISTIN JANE ZOSEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS PT

Contact information

Practice address
308 N IVY ST, CANBY, OR 97013-3704
(503) 263-6786
(503) 263-6451
Mailing address
PO BOX 52194, DEPT CODE 960, PHOENIX, AZ 85072-2194
(503) 489-1781
(503) 489-1650

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4979
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
278083
OR
Enumeration date
02/15/2007
Last updated
11/06/2008
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