Mordock, Kaylin Jaie

Mordock, Kaylin Jaie is an sole proprietor health care provider with primary practice located at 205A Marin St , San Rafael CA 94901-3713. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Mordock, Kaylin Jaie can be contacted via phone (415) 336-1358.

Contact Information

Primary practice address
205A Marin St San Rafael CA 94901-3713
Phone: (415) 336-1358
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT24020 California

Profile Details

NPI number 1386626505
LBN Legal business name Mordock, Kaylin Jaie
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2005
Last updated Jun 24th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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