Kirstin Anne Fosberg

NPI #1558677302 in Mountlake Terrace, Washington

Provider Information

NPI Number: 1558677302
Entity Type: Individual
Name: Kirstin Anne Fosberg
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Aug 30, 2010
Last Updated: Jul 6, 2015

Practice Location

Address: 6601 220TH ST SW
Address 2: STE 1
City: Mountlake Terrace
State: Washington
ZIP Code: 98043-2166
Phone: (425) 775-7274

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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