Justin Mark Kotlarczyk in Bradenton - Physical Therapist
Justin Mark Kotlarczyk - NPI 1649255852
Justin Mark Kotlarczyk is a Physical Therapist in Bradenton, Florida. Justin Mark Kotlarczyk practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Justin Mark Kotlarczyk is 1649255852. The last update date is 2018-08-10.
Justin Mark Kotlarczyk's current location address is 2722 Manatee Ave W, Bradenton, Florida. You can contact this provider via phone number 9417449046 and fax number 9417449046. The mailing address for Justin Mark Kotlarczyk is 2722 Manatee Ave W, Bradenton, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Justin Mark Kotlarczyk |
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Address | 2722 Manatee Ave W, Bradenton, Florida |
Phone Number | 9417449046 |
Fax Number | 9417449046 |
Sole Proprietor | N |
Credentials | PT |
NPI Number Detail
NPI Number | 1649255852 |
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Provider Enumeration Date | 2005-12-09 |
Last Updated Date | 2018-08-10 |
Provider Mailing Address Detail
Address | 2722 Manatee Ave W |
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City | Bradenton |
State | Florida (FL) |
Post Code | 342054945 |
Phone Number | 9417449046 |
Fax Number | 9417449046 |
Provider's Primary Taxonomy Detail
Speciality | Physical Therapist |
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Taxonomy | 225100000X |
Licence No | PT21555 |
Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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Y060C | FL | BCBS |
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What is the unique identification code assigned to Justin Mark Kotlarczyk by the Centers for Medicare & Medicaid Services?
The Justin Mark Kotlarczyk has been issued the NPI (National Provider Identifier) 1649255852. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Justin Mark Kotlarczyk's physical address?
The Justin Mark Kotlarczyk is physically located at 2722 Manatee Ave W, in the city of Bradenton, FL, with the postal code 342054945.
What is the area of specialization for Justin Mark Kotlarczyk, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Justin Mark Kotlarczyk is Physical Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 225100000X.
On what date did the Justin Mark Kotlarczyk receive the assignment of its 1649255852 from the Centers for Medicare & Medicaid Services?
The Justin Mark Kotlarczyk was issued its 1649255852 by the Centers for Medicare & Medicaid Services on 2005-12-09.
When was the information regarding Justin Mark Kotlarczyk most recently updated?
The details pertaining to the Justin Mark Kotlarczyk, including its address, specialty, and other relevant information, were last refreshed on 2018-08-10.
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