Individual
AUGUST BENJAMIN PRIVRATSKY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, CP
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
—
—
225100000X
Physical Therapist
1079887
TX
225100000X
Physical Therapist
1797
OK
225100000X
Physical Therapist
Primary
29431
CA
225100000X
Physical Therapist
350182-2401
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6147910001
MEDICARE PROSTHETIST, DME SUPPLIER
UT
Enumeration date
02/27/2007
Last updated
12/10/2020
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