Individual
MR. KEVIN M. SOWVLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
16148 CAYENNE CREEK RD, SAN DIEGO, CA 92127-3709
(858) 312-1971
Mailing address
16148 CAYENNE CREEK RD, SAN DIEGO, CA 92127-3709
(858) 312-1971
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT-4714
CA
Other
Enumeration date
02/09/2009
Last updated
02/09/2009
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