Individual
MR. TARAS MYCHAJLO PENKALSKYJ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT
Contact information
Practice address
8400 BUSTLETON AVE, SUITE 9, PHILA, PA 19152-1918
(215) 725-2300
Mailing address
8400 BUSTLETON AVE, SUITE 9, PHILA, PA 19152-1918
(215) 725-2300
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MSG001563
PA
Other
Enumeration date
01/20/2012
Last updated
01/20/2012
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