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Individual

BARRY J KLONSKY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RPT

Contact information

Practice address
23232 PERALTA DR STE 113, LAGUNA HILLS, CA 92653-1436
(949) 922-2776
Mailing address
24482 MOONFIRE DR, DANA POINT, CA 92629-1766
(949) 285-5663

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5025
CA

Other

Enumeration date
10/11/2006
Last updated
07/08/2007
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