Individual
MR. JONATHAN JAMES GALICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3505 LAKE LYNDA DIVE, SUITE 207, ORLANDO, FL 32817
(877) 896-3660
Mailing address
17220 WARRIOR DR, HOWARD CITY, MI 49329-9338
(616) 617-6561
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
160-002759
IL
225200000X
Physical Therapy Assistant
Primary
2033181
TX
225200000X
Physical Therapy Assistant
A-0411
NV
225200000X
Physical Therapy Assistant
PTA001235
GA
Other
Enumeration date
05/08/2007
Last updated
10/03/2014
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