Dana A Kankolenski, PT Valid NPI

Individual provider · Physical Medicine & Rehabilitation Physician · Hermosa Beach, CA

NPI

1740462019

Type

Individual (Type 1)

Primary specialty

Physical Medicine & Rehabilitation Physician (Physical Medicine & Rehabilitation)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

208100000X

License number

PT14125 (CA)

Sex

Female

Sole proprietor

Yes

Enumerated

2007-11-28

Last updated

2007-11-28