Individual
KARA GOSTOMSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2132 LINCOLN AVE, SAN DIEGO, CA 92104-2409
(813) 317-8345
Mailing address
2132 LINCOLN AVE, SAN DIEGO, CA 92104-2409
(813) 317-8345
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT9461
CA
225200000X
Physical Therapy Assistant
PTA21166
FL
Other
Enumeration date
04/16/2008
Last updated
06/07/2011
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