Individual
KAELAN KOWALICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
12023 N RADIO STATION RD STE A, SENECA, SC 29678-1143
(864) 985-0770
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(866) 370-8206
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
051781
NY
Other
Enumeration date
12/15/2023
Last updated
08/26/2024
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