Individual
KATHLEEN ANNE COYLE JURSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
809 FREMONT AVE, LOS ALTOS, CA 94024-5617
(408) 398-6618
Mailing address
809 FREEMONT AVE, LOS ALTOS, CA 94024
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT2623
CA
Other
Enumeration date
02/20/2009
Last updated
11/05/2012
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