Individual
MS. PATRICIA KOWALCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA/L
Contact information
Practice address
6050 ST.JOHNS AVE., SUITE A, PALATKA, FL 32177
(386) 312-0022
Mailing address
6841 BIG SKY LN, MELROSE, FL 32666-8932
(352) 494-9434
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA8018
FL
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
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