Individual
JOHN B KOLODZIEJCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.A.
Contact information
Practice address
12222 N CENTRAL EXPY, STE 115, DALLAS, TX 75243-3720
(972) 546-0411
(972) 599-1867
Mailing address
7502B AMHERST DR, ROWLETT, TX 75088-6372
(214) 284-9544
(972) 599-1867
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2034122
TX
Other
Enumeration date
08/23/2010
Last updated
08/23/2010
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