Individual
MARINO ADRIAN OMELANCZUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5620 SOHL AVE, HAMMOND, IN 46320-2008
(219) 937-9085
Mailing address
10 S 9TH ST STE 4, NOBLESVILLE, IN 46060-2631
(317) 204-3736
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06006214A
IN
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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