Koonce, Desirae
Koonce, Desirae is an individual health care provider with primary practice located at 275 Se Cabot Dr Suite A-05, Oak Harbor WA 98277-3715. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Koonce, Desirae can be contacted via phone (360) 914-5504.Contact Information
Primary practice address
275 Se Cabot Dr Suite A-05
Oak Harbor WA 98277-3715
Phone: (360) 914-5504
Fax: (360) 639-4079
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 15174 | North Carolina |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT60729955 | Washington |
Profile Details
| NPI number | 1336546092 |
|---|---|
| LBN Legal business name | Koonce, Desirae |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 24th, 2014 |
| Last updated | Apr 3rd, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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