Individual
KRISTIN LAWICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
41769 ENTERPRISE CIR N STE 104, TEMECULA, CA 92590-5626
(951) 303-8255
Mailing address
41769 ENTERPRISE CIR N STE 104, TEMECULA, CA 92590-5626
(951) 303-8255
(951) 719-3429
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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