Healthcare Provider Details

I. General information

NPI: 1457564551
Provider Name (Legal Business Name): KATARZYNA WOJSIAT D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KASIA WOJSIAT D.C.

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

409 ALBERTO WAY SUITE 3
LOS GATOS CA
95032-5407
US

IV. Provider business mailing address

4501 CARLYLE CT APT. # 1205
SANTA CLARA CA
95054-3902
US

V. Phone/Fax

Practice location:
  • Phone: 408-725-8321
  • Fax:
Mailing address:
  • Phone: 408-970-5008
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC25826
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: