MR. Thomas James Krisko, PTA

NPI #1144815663 in La Quinta, California

Provider Information

NPI Number: 1144815663
Entity Type: Individual
Name: MR. Thomas James Krisko, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Mar 5, 2021
Last Updated: Mar 5, 2021

Practice Location

Address: 79440 CORPORATE CENTER DR STE 112
City: La Quinta
State: California
ZIP Code: 92253-7243
Phone: (760) 771-9054

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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