Individual
JACLYN BARCIKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1800 LOMBARD ST FL 1, PHILADELPHIA, PA 19146
(215) 893-2676
Mailing address
1800 LOMBARD ST FL 1, PHILADELPHIA, PA 19146-1414
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
OT016644
PA
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
OT016644
PA
Other
Enumeration date
06/16/2014
Last updated
06/11/2018
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