Individual
DONALYN KUCZKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
21281 GRAYTON TER, PORT CHARLOTTE, FL 33954-3109
(941) 613-0919
Mailing address
3679 ISLAND CLUB DR APT 3, NORTH PORT, FL 34288-8951
(716) 989-1791
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA31945
FL
Other
Enumeration date
03/11/2024
Last updated
03/11/2024
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