Individual
MR. STEVE KUKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 14TH ST NW, MANDAN, ND 58554
(701) 663-4274
Mailing address
201 14TH ST NW, MANDAN, ND 58554
(701) 663-4274
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1157
ND
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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