Individual
KATIE KOWALCZYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 N 13TH ST, DECATUR, IN 46733-1409
(260) 223-3342
Mailing address
9161 N 100 W, DECATUR, IN 46733-9740
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06004794A
IN
Other
Enumeration date
04/28/2014
Last updated
01/27/2015
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