Individual
JEROME LECYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5505 W 87TH CT, CROWN POINT, IN 46307-1510
(219) 775-1310
Mailing address
5505 W 87TH CT, CROWN POINT, IN 46307-1510
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
06/06/2018
Last updated
06/06/2018
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