Individual
MRS. LILIYA KOTSYUBCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9107 DAVIS RD, STOCKTON, CA 95209-1807
(209) 478-6488
Mailing address
7436 HESPERA WAY, CITRUS HEIGHTS, CA 95621-5599
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
50423
CA
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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