Individual
KATIE LYN KAVINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
7120 CORBIN AVE, RESEDA, CA 91335-3618
(732) 673-4014
Mailing address
32 BRISTLECONE DR, HOWELL, NJ 07731-2819
(732) 673-4014
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
297119
CA
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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