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Individual
MR. FRANK FEDORCZYK
Active
Individual
MR. FRANK FEDORCZYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT, OCS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
40QA00339700
NJ
225100000X
Physical Therapist
PT005649L
PA
225100000X
Physical Therapist
Primary
PT32010
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1902806367
CHAMPUS TRICARE
—
01
—
504364
PABS HIGHMARK
PA
Enumeration date
07/28/2005
Last updated
04/20/2023
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