Individual
DANA A KANKOLENSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1601 PACIFIC COAST HWY, HERMOSA BEACH, CA 90254-3213
(310) 698-0770
(310) 698-0801
Mailing address
146 LYNDON ST, #5, HERMOSA BEACH, CA 90254-5125
(310) 698-0770
(310) 698-0801
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT14125
CA
Other
Enumeration date
11/28/2007
Last updated
11/28/2007
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