Individual
MRS. JENY G SIATKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6016 ROYAL BIRKDALE DR, LAKE WORTH, FL 33463-6523
(561) 601-4997
Mailing address
6016 ROYAL BIRKDALE DR, LAKE WORTH, FL 33463-6523
(561) 601-4997
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
22652
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22652
PTA 22652
FL
Enumeration date
01/09/2012
Last updated
01/09/2012
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