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Individual

KEVIN CONSTANTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
1150 W FAIRVIEW ST, COLFAX, WA 99111-9580
(509) 397-4603
(509) 397-2441
Mailing address
260 NW GOLDEN HILLS DR SPC 35, PULLMAN, WA 99163-9767

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5185
ID
225100000X
Physical Therapist
Primary
PT60665011
WA

Other

Enumeration date
06/09/2017
Last updated
06/09/2017
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