JACKLYN KOKUASHVILI

AGOURA HILLS, CA
NPI1407668064
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: CA  307149)
Enumeration Date2025-01-22
Last Update Date2025-01-22
Business Address
JACKLYN KOKUASHVILI
30851 AGOURA RD STE 300A
AGOURA HILLS, CA 91301-4346
Phone number: 818-532-7600
Mailing Address
JACKLYN KOKUASHVILI
5301 VIA PISA
NEWBURY PARK, CA 91320-7007
Phone number: