Doctor Name: | KEVIN RONALD GULCZEWSKI |
NPI Number: | 1194943936 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | PT 18495 |
Business Practice Address: | 6327 Lucerne St Jupiter, FL - 334586673 |
Business Phone Number: | 5617432508 |
Business Fax Number: | 5617430458 |
Mailing Address: | 6327 Lucerne St, JUPITER |
State: | FL |
Postal Code: | 334586673 |
Phone Number: | 5617432508 |
Fax Number: | 5617430458 |
NPI Enumeration Date: | 04/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 18495 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |