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Individual

BARBARA PEZICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
567 SMITHBRIDGE RD, GLEN MILLS, PA 19342-1541
(610) 358-4065
Mailing address
567 SMITHBRIDGE RD, GLEN MILLS, PA 19342-1541

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 03725L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01440361
PA
Enumeration date
07/23/2007
Last updated
07/23/2007
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