Individual
DESIRAE KOONCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
275 SE CABOT DR, SUITE A-05, OAK HARBOR, WA 98277-3715
(360) 914-5504
(360) 639-4079
Mailing address
4220 132ND ST SE, SUITE 101, MILL CREEK, WA 98012-8999
(425) 357-9380
(425) 357-9382
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
15174
NC
225100000X
Physical Therapist
Primary
PT60729955
WA
Other
Enumeration date
11/24/2014
Last updated
04/03/2017
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