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Individual

JOSEPH SKOCYPEC

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
1812 MARSH RD, STORE 505, WILMINGTON, DE 19810-4581
(302) 793-0432
(302) 793-0400
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J10002209
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1639371974
DE
01
2859732000
AMERIHEALTH
01
5070-0059
CAREFIRST
01
91264801
NCA
Enumeration date
05/31/2007
Last updated
02/26/2013
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