Individual
MR. THOMAS JAMES KRISKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
79440 CORPORATE CENTER DR STE 112, LA QUINTA, CA 92253-7243
(760) 771-9054
Mailing address
118 ROSETTA CT, PALM DESERT, CA 92211-0773
(619) 592-0142
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
51036
CA
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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