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Individual

JACEK P SZYDLO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
23509 CONNON RD, HILLMAN, MI 49746-9777
(989) 742-2134
(989) 742-7581
Mailing address
23509 CONNON RD, P.O. BOX 312, HILLMAN, MI 49746-9777
(989) 742-2134
(989) 742-7581

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
007503-1
NY

Other

Enumeration date
11/24/2010
Last updated
11/24/2010
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