Jacklyn Kokuashvili
NPI #1407668064 in Agoura Hills, California
Provider Information
- NPI Number
- 1407668064
- Entity Type
- Individual
- Name
- Jacklyn Kokuashvili
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Jan 22, 2025
- Last Updated
- Jan 22, 2025
Practice Location
- Address
- 30851 AGOURA RD STE 300A
- City
- Agoura Hills
- State
- California
- ZIP Code
- 91301-4346
- Phone
- (818) 532-7600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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