Individual
MR. WIESLAW PLONSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
10400 ROOSEVELT BLVD, PHILADELPHIA, PA 19116-3905
(215) 698-5641
Mailing address
8460 LIMEKILN PIKE APT 903, WYNCOTE, PA 19095-2610
(347) 496-6503
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE009729
PA
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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