MRS. Rachael Joy Bombalicki, P.T.A.

NPI #1184752438 in Myrtle Beach, South Carolina

Provider Information

NPI Number: 1184752438
Entity Type: Individual
Name: MRS. Rachael Joy Bombalicki, P.T.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Credential: P.T.A.
Enumeration Date: Mar 1, 2007
Last Updated: Mar 25, 2009

Practice Location

Address: 1109 ELLA CT
City: Myrtle Beach
State: South Carolina
ZIP Code: 29588-1914
Phone: (843) 655-7878

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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