Doctor Name: | RAYMOND KAZMIERCZAK |
NPI Number: | 1548307044 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT 002617 |
Business Practice Address: | 460 Mylan Park Ln Morgantown, WV - 265012281 |
Business Phone Number: | 3049837761 |
Business Fax Number: | |
Mailing Address: | 61 Gilmore St, UNIONTOWN |
State: | PA |
Postal Code: | 154012877 |
Phone Number: | 7245570093 |
Fax Number: | |
NPI Enumeration Date: | 01/31/2007 |
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 002617 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
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 |