Individual
JOSEPH C KOLAITIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
10 BICKWICK LN, PALM COAST, FL 32137-9362
(845) 803-2100
Mailing address
10 BICKWICK LN, PALM COAST, FL 32137-9362
(845) 803-2100
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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