Individual
TATYANA KHOMITS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2540 CARMICHAEL WAY, CARMICHAEL, CA 95608-5314
(916) 482-0465
Mailing address
2540 CARMICHAEL WAY, CARMICHAEL, CA 95608-5314
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
11118
CA
Other
Enumeration date
01/03/2017
Last updated
05/30/2017
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