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Individual

MRS. EDYTA HALINA KOLASA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
8975 BIG OAK DRIVE, MURFREESBORO, TN 37129
(760) 318-5648
Mailing address
8975 BIG OAK DRIVE, MURFREESBORO, TN 37129
(760) 318-5648

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
A03424
KY
225200000X
Physical Therapy Assistant
PTA-A03424
KY
225200000X
Physical Therapy Assistant
Primary
PTA0000006184
TN

Other

Enumeration date
03/07/2016
Last updated
12/01/2020
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