Individual
MRS. KERRY L KOWALSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
320 N 7TH ST, CORNELL, WI 54732-8120
(715) 239-6288
Mailing address
13236 136TH AVE, CHIPPEWA FALLS, WI 54729-6284
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
1248-019
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40463300
—
WI
Enumeration date
05/09/2007
Last updated
07/08/2007
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