Individual
ERIC PACZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1086 ROUTE 315, PLAINS, PA 18702
(570) 823-7761
(570) 822-8033
Mailing address
1086 ROUTE 315, PRO REHABILITATION SERVICES, PLAINS, PA 18702
(570) 823-7761
(570) 822-8033
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT012481L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0812288
BLUE SHIELD
—
01
—
392710
HEALTH AMERICA ASSURANCE
—
01
—
393529
HEALTH AMERICA ASSURANCE
—
01
—
393530
HEALTH AMERICA ASSURANCE
—
01
—
816785
FIRST PRIORITY
—
01
—
818041
FIRST PRIORITY
—
01
—
818042
FIRST PRIORITY
—
Enumeration date
11/28/2006
Last updated
07/08/2007
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