Individual
ALAN KOTECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
10946 DEER VALLEY RD, YUCAIPA, CA 92399-9490
(909) 260-3595
Mailing address
10946 DEER VALLEY ROAD, YUCAIPA, CA 92399
(909) 260-3595
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
25613
CA
Other
Enumeration date
01/15/2010
Last updated
01/15/2010
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