KATHERINE ALEXANDRA BUKOVSKY

CENTREVILLE, VA
NPI1104496777
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NC  PTA)
Enumeration Date2021-06-28
Last Update Date2021-06-28
Business Address
Miss KATHERINE ALEXANDRA BUKOVSKY
5136 PLEASANT FOREST DR
CENTREVILLE, VA 20120-1248
Phone number: 571-332-5283
Mailing Address
Miss KATHERINE ALEXANDRA BUKOVSKY
5136 PLEASANT FOREST DR
CENTREVILLE, VA 20120-1248
Phone number: 571-332-5283