Individual
RAYMOND KAZMIERCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
460 MYLAN PARK LN, MORGANTOWN, WV 26501-2281
(304) 983-7761
Mailing address
61 GILMORE ST, UNIONTOWN, PA 15401-2877
(724) 557-0093
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 002617
WV
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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