Individual provider · Type 1 NPI
Paul Edward Kionka, OT
Neurorehabilitation Occupational Therapist · Moab, UT
NPI number
1104336528
Active
Practice location
450 Williams Way
Moab, UT 84532-2185
Mailing address
660 Platte River Ct
San Jose, CA 95111-1231
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neurorehabilitation Occupational Therapist Primary | 225XN1300X | 10537079-4201 (UT) |
Neurorehabilitation Occupational Therapist: Definition to come...
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About NPI 1104336528
Paul Edward Kionka, OT's National Provider Identifier is 1104336528, issued on Oct 11, 2017. The primary taxonomy on file is Neurorehabilitation Occupational Therapist (225XN1300X), and the practice location is in Moab, UT. The record was last updated on Oct 11, 2017.