Individual
LUKIA KALIBBALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
917 BEVILLE RD, STE G, SOUTH DAYTONA, FL 32119-1712
(800) 330-7711
(866) 426-2811
Mailing address
1120 N STERLING AVE, APT 206, PALATINE, IL 60067-8452
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160005107
IL
Other
Enumeration date
11/19/2010
Last updated
11/19/2010
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