Individual
VADIM SYCHUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
8300 W RIDGE RD, GIRARD, PA 16417
(814) 474-5521
(814) 474-9253
Mailing address
2810 W 35TH ST, ERIE, PA 16506-3376
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE009026
PA
Other
Enumeration date
11/03/2011
Last updated
11/03/2011
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