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Individual

JULIE A DECUIRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
22500 NE MARKETPLACE DR, SUITE 204, REDMOND, WA 98053-2033
(425) 836-1034
(425) 836-1037
Mailing address
1519 132ND ST SE, SUITE A, EVERETT, WA 98208-7203
(425) 330-0633
(425) 338-9637

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00008629
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0218066
DEPT. OF LABOR & INDUSTRY
WA
01
0232275
LABOR & INDUSTRIES
WA
01
2250DE
REGENCE BLUE SHIELD
WA
01
3499DE
REGENCE
WA
01
7762900
AETNA
WA
05
8474595
WA
01
8870905
MEDICARE
WA
01
8943763
L&I CRIME VICTIMS
WA
01
G8872199
MEDICARE
WA
01
P00417127
RAILROAD MEDIARE
WA
01
P00473358
RAILROAD MEDICARE
WA
Enumeration date
02/15/2007
Last updated
01/25/2012
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