Individual
MR. JAY M. MUTCHNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
5100 WISCONSIN AVE NW, SUITE 522, WASHINGTON, DC 20016-4119
(202) 966-0900
Mailing address
20 NEW PLANT CT, OWINGS MILLS, MD 21117-3525
(410) 654-8602
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT870265
DC
Other
Enumeration date
08/22/2006
Last updated
07/09/2007
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