Jacklyn Kokuashvili Valid NPI

Individual provider · Physical Therapist · Agoura Hills, CA

NPI

1407668064

Type

Individual (Type 1)

Primary specialty

Physical Therapist

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

225100000X

License number

307149 (CA)

Sex

Female

Sole proprietor

No

Enumerated

2025-01-22

Last updated

2025-01-22