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1710996012
KRISTEN M COSTELLO
LAKEWOOD, WA
NPI
1710996012
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT00003175)
Enumeration Date
2006-08-05
Last Update Date
2007-07-08
Business Address
-- KRISTEN M COSTELLO PT
11307 BRIDGEPORT WAY SW STE 220
LAKEWOOD, WA 98499-3024
Phone number: 253-985-2733
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Mailing Address
-- KRISTEN M COSTELLO PT
11307 BRIDGEPORT WAY SW STE 220
LAKEWOOD, WA 98499-3024
Phone number: 253-985-2733
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