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Individual

BENJAMIN DUSZKIEWICZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
12020 PACIFIC ST, OMAHA, NE 68154-3507
(800) 259-9897
Mailing address
42 LOVE TER, LACKAWANNA, NY 14218-3260

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PT-7675
STATE LICENSE
ID
Enumeration date
09/22/2021
Last updated
09/22/2021
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