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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 7 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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