Individual
ANNA GOMOLKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
70 GILL AVE, PAWTUCKET, RI 02861-4315
(781) 356-1016
Mailing address
12 ANGELL RD, LINCOLN, RI 02865-4736
(401) 723-6150
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
4051
MA
225200000X
Physical Therapy Assistant
Primary
PTA00469
RI
Other
Enumeration date
05/21/2007
Last updated
04/27/2022
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