Doctor Name: | ROBERT KOSTOK |
NPI Number: | 1326054198 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | DAPT000793 |
Business Practice Address: | 720 W Mahoning St Suite 100 Punxsutawney, PA - 157671308 |
Business Phone Number: | 8149380148 |
Business Fax Number: | |
Mailing Address: | 586 Norman Smith Rd, PUNXSUTAWNEY |
State: | PA |
Postal Code: | 157676558 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | DAPT000793 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |