Individual
KRISTEN BACIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
9500 MENTOR AVE, SUITE 210, MENTOR, OH 44060-8713
(440) 352-0934
(440) 352-7562
Mailing address
PO BOX 33396, N ROYALTON, OH 44133-0396
(440) 230-1133
(440) 230-9243
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
.014667
OH
Other
Enumeration date
04/25/2014
Last updated
05/08/2014
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