Individual
JENNIFER DAWN KAMUCHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1081 MARSHALL WAY, SUITE C, PLACERVILLE, CA 95667-5706
(530) 344-5430
Mailing address
1100 MARSHALL WAY, PLACERVILLE, CA 95667-6533
(530) 344-5430
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT5681
CA
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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