Individual
JESSICA KUCALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1015 WEST 47TH STREET, NORFOLK, VA 23508
(757) 683-7041
Mailing address
1015 WEST 47TH STREET, NORFOLK, VA 23508
(757) 683-7041
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305206909
VA
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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