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Individual

MS. CAMILLE WONIYA KOLODJAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
11074 CEDAR RIDGE DR., GRASS VALLEY, CA 95945-5082
(707) 499-4418
Mailing address
PO BOX 211, CEDAR RIDGE, CA 95924-0211
(707) 499-4418

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT37228
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PT37228
PHYSICAL THERAPIST
CA
Enumeration date
11/07/2012
Last updated
09/12/2025
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