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Individual

KAYLA GOLKIEWICZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
4110 BRIARGATE PKWY STE 300, COLORADO SPRINGS, CO 80920-7837
(719) 867-7329
Mailing address
4110 BRIARGATE PKWY STE 300, COLORADO SPRINGS, CO 80920-7837
(719) 867-7329

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0014316
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PTA.0014316
COLORADO PTA LICENSE
CO
Enumeration date
02/10/2020
Last updated
02/10/2020
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