Individual
ALEXANDER LAWRENCE KUCZWARSKYJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
9630 GROVE CIR N STE 200, MAPLE GROVE, MN 55369-3492
(763) 520-7870
(763) 520-7580
Mailing address
9630 GROVE CIR N STE 200, MAPLE GROVE, MN 55369-3492
(763) 520-7870
(763) 520-7580
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11474
MN
225100000X
Physical Therapist
9722
SC
Other
Enumeration date
06/12/2019
Last updated
09/03/2019
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