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Individual
STEPHEN GERALD WYCHOCK
Active
Individual
STEPHEN GERALD WYCHOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-6573
OH
2251E1200X
Ergonomics Physical Therapist
PT-6573
OH
2251G0304X
Geriatric Physical Therapist
PT-6573
OH
2251H1200X
Hand Physical Therapist
PT-6573
OH
2251N0400X
Neurology Physical Therapist
PT-6573
OH
2251P0200X
Pediatric Physical Therapist
PT-6573
OH
2251S0007X
Sports Physical Therapist
PT-6573
OH
2251X0800X
Orthopedic Physical Therapist
PT-6573
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000320301
ANTHEM BC/BS GROUP#
OH
01
—
000000320302
ANTHEM BC/BS IND#
OH
01
—
200346640-00
WORKERS' COMP GROUP#
OH
01
—
2160561
FIRST HEALTH
OH
01
—
233508
HEALTH AMERICA HEALTH ASS
PA
05
—
2361699
—
OH
01
—
P-12042976
MULTIPLAN
OH
01
—
WY756076
HIGHMARK BC/BS
PA
Enumeration date
07/07/2005
Last updated
10/04/2007
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