NPI 1346432655

Jared Kowal, ATCPTA

Practitioner Physical Therapy Assistant Encinitas, CA

Practice location

Address: 211 Saxony Rd, Encinitas, CA 92024-2791
Phone: (760) 632-0081

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence AT 5404 (CA)

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Registry record

NPI: 1346432655
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Aug 2007
Record last updated: 10 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.