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Individual
MARCIA KOLONGOWSKI
Active
Individual
MARCIA KOLONGOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
40QA00877400
NJ
225100000X
Physical Therapist
J10001530
DE
225100000X
Physical Therapist
Primary
PT013157L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000254533
AMERICHOICE
PA
01
—
057774VLZ
MEDICARE
PA
05
—
07759438
—
PA
01
—
0792818000
IBC
—
01
—
0879632
BCBS
PA
05
—
102313867
—
PA
01
—
1659312858
BRAVO
PA
01
—
30068646
KEYSTONE MERCY
PA
01
—
87639
HIGHMARK PABS
—
01
—
P00692901
RAILROAD MEDICARE
—
Enumeration date
06/09/2006
Last updated
06/14/2010
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