Individual
MISS KATHERINE ALEXANDRA BUKOVSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5136 PLEASANT FOREST DR, CENTREVILLE, VA 20120-1248
(571) 332-5283
Mailing address
5136 PLEASANT FOREST DR, CENTREVILLE, VA 20120-1248
(571) 332-5283
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA
NC
Other
Enumeration date
06/28/2021
Last updated
06/28/2021
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