Individual
PAULA KOVALICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
585 E FLINT ST, LAKE ORION, MI 48362-3209
(810) 693-0508
Mailing address
585 E FLINT ST, LAKE ORION, MI 48362-3209
(248) 693-0508
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502002613
MI
Other
Enumeration date
07/02/2025
Last updated
07/02/2025
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