Individual
DR. LEONID KLICHINSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3876 SHELLEY RD, HUNTINGDON VALLEY, PA 19006-2343
(267) 647-9097
(215) 914-9073
Mailing address
3876 SHELLEY RD, HUNTINGDON VALLEY, PA 19006-2343
(267) 249-0877
(215) 914-9073
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT021213
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1234
1234
PA
Enumeration date
11/05/2012
Last updated
01/28/2019
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