Individual
KAITLYN PACAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1115 BOULDERS PKWY STE 100B, NORTH CHESTERFIELD, VA 23225-4067
(804) 330-8165
(804) 330-3948
Mailing address
PO BOX 715868, PHILADELPHIA, PA 19171-5868
(804) 915-1910
(804) 968-1803
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305216620
VA
Other
Enumeration date
08/05/2024
Last updated
08/09/2024
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