Carol J Kukolja, PT

NPI #1366541815 in Shoreline, Washington

Provider Information

NPI Number: 1366541815
Entity Type: Individual
Name: Carol J Kukolja, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT
Enumeration Date: Sep 21, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 18021 15TH AVE. NE.
Address 2: SUITE 201
City: Shoreline
State: Washington
ZIP Code: 98155-3809
Phone: (206) 362-5255

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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