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Individual

JULIE ANN COSTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
6511 NE 18TH ST, VANCOUVER, WA 98661-6869
(360) 759-4917
(360) 759-4921
Mailing address
103 PARE RD, KELSO, WA 98626-9639
(360) 577-4813

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00006935
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8346553
WA
Enumeration date
05/24/2007
Last updated
07/09/2007
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