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NPI 1306597174

IndividualActive

Aemon Kolasienski, PT

NPI 1306597174 · Licensed Psychiatric Technician · San Luis Obispo, CA

Provider details

NPI number: 1306597174
Entity type: Individual
Primary specialty: Licensed Psychiatric TechnicianNursing Service Providers
Credential: PT
Sex: Male
Sole proprietor: Yes
License: 41518 (CA)

Practice location

2178 Johnson Ave

San Luis Obispo, CA 93401-4535

Phone: (805) 781-4711

More CA providers

Mailing address

2178 Johnson Ave

San Luis Obispo, CA 93401-4535

Registry dates

Enumerated: 2022-01-13
Last updated: 2022-01-13

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Aemon Kolasienski, PT — NPI 1306597174, San Luis Obispo, CA | NPI Central