Individual
CAROL J KUKOLJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
18021 15TH AVE. NE., SUITE 201, SHORELINE, WA 98155-3809
(206) 362-5255
(206) 362-5260
Mailing address
18021 15TH AVE. NE., SUITE 201, SHORELINE, WA 98155-3809
(206) 362-5255
(206) 362-5260
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00005030
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0181525
STATE L&I NUMBER
WA
Enumeration date
09/21/2006
Last updated
07/08/2007
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