Individual provider · Type 1 NPI

Kayla Sibbaluca, ATC

Specialist · Petaluma, CA

NPI number 1710338744 Active

Practice location

201 Fair St
Petaluma, CA 94952-2516

Call (707) 778-4651 Map

Mailing address

652 Powderhorn Ave
Santa Rosa, CA 95407-2743

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X2000025463 (CA)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3 other providers at this address

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About NPI 1710338744

Kayla Sibbaluca, ATC's National Provider Identifier is 1710338744, issued on Jun 30, 2016. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Petaluma, CA. The record was last updated on Jun 30, 2016.