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Individual

JOAN BECKER COTTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
00000916
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1831434729
WA
01
362176
WVH LNI
WA
01
P01769828
RR MEDICARE WVH
WA
Enumeration date
12/03/2012
Last updated
02/14/2017
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