Individual
AMANDA KLOKSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10642 WINCHECK RD, SAN DIEGO, CA 92131-3659
(425) 760-2876
Mailing address
10642 WINCHECK RD, SAN DIEGO, CA 92131-3659
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
10138
CA
Other
Enumeration date
02/04/2014
Last updated
02/04/2014
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