Individual
JULIA KOWALSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4607 LINDBERGH DR, JACKSON, MS 39209-3855
(601) 353-9934
Mailing address
121 BURNE RUN, MADISON, MS 39110-4005
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA4609
MS
Other
Enumeration date
01/06/2014
Last updated
01/06/2014
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