Individual
MR. PAUL EDWARD KIONKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
450 WILLIAMS WAY, MOAB, UT 84532-2185
(435) 259-3600
Mailing address
660 PLATTE RIVER CT, SAN JOSE, CA 95111-1231
(408) 205-2142
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
10537079-4201
UT
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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