Vadim Sychuk PTA

NPI 1003193103 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1003193103
Gender Male
Enumeration Date 11/03/2011
Last Updated 11/03/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
8300 W RIDGE RD
GIRARD PA, 16417, US
Phone (814) 474-5521
Fax (814) 474-9253
Business Location
2810 W 35TH ST
ERIE PA, 16506-3376, US
Phone
Fax
Toxanomy
Taxonomy Code 225200000X
License State Pennsylvania
License Number TE009026
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According to our database, Vadim Sychuk PTA NPI is 1003193103, taxonomy code is 225200000X and license number is TE009026, license state is located at Pennsylvania. Vadim Sychuk PTA physically located at 8300 W Ridge Rd, Girard PA, 16417. NPI Number Vadim Sychuk PTA has the Individual type.

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1003193103 NPI number is provided on an as is basis without warranty of any kind. 1003193103 is maintained by the National Plan & Provider Enumeration System. The contents of Vadim Sychuk PTA are for informational purposes only.