Individual
CHEYNE AUSTIN PIETRYKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1921 VISCAYA PKWY, CAPE CORAL, FL 33990-3248
(239) 450-2859
Mailing address
1921 VISCAYA PKWY, CAPE CORAL, FL 33990-3248
Taxonomy
Speciality
Code
Description
License number
State
224ZE0001X
Environmental Modification Occupational Therapy Assistant
Primary
OT15178
FL
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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