Doctor Name: | MR. MAREK SERWATKA |
NPI Number: | 1821369091 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.T. |
License Number: | 05004733A |
Business Practice Address: | 932 Parkway Ave Suite B Elkhart, IN - 465169344 |
Business Phone Number: | 5742151847 |
Business Fax Number: | |
Mailing Address: | 57290 Orchard Ridge Dr, ELKHART |
State: | IN |
Postal Code: | 465168936 |
Phone Number: | 5742151847 |
Fax Number: | |
NPI Enumeration Date: | 01/19/2012 |
NPI Last Update Date: | 01/14/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 05004733A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
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 |