Mr. Paul Edward Kionka
Occupational Therapist - Neurorehabilitation
450 Williams Way
Moab
, Utah 84532-2185
Mr. Paul Edward Kionka
Occupational Therapist - Neurorehabilitation
450 Williams Way
Moab
, Utah 84532-2185
(408) 205-2142
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About
Features
Specialties
- Occupational Therapist - Neurorehabilitation
Languages spoken
- English
Location
First Address
- Mr. Paul Edward Kionka
- 660 Platte River Ct
- San Jose, CA
- Zip : 95111-1231
- Phone : (408) 205-2142
Second Address
- Mr. Paul Edward Kionka
- 450 Williams Way
- Moab, UT
- Zip : 84532-2185
- Phone : (435) 259-3600
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 10537079-4201 | UT |
National Provider Identifier
| NPI | 1104336528 |
|---|---|
| Provider Name | Mr. Paul Edward Kionka |
| First Address | San Jose, CA 95111-1231 |
| Second Address | Moab, UT 84532-2185 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/10/2017 |
| Last Update Date | 11/10/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.