Doctor Name: | MR. KAMIL DOSTALIK |
NPI Number: | 1487869368 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 02070 |
Business Practice Address: | 1135 N Commercial Ave Saint Clair, MO - 630771012 |
Business Phone Number: | 6366298110 |
Business Fax Number: | 6365838960 |
Mailing Address: | 20 Stablestone Dr, UNION |
State: | MO |
Postal Code: | 630844417 |
Phone Number: | 6366298110 |
Fax Number: | 6365838960 |
NPI Enumeration Date: | 05/13/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 02070 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |