Individual
DAVID JON MARKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
TRAC REHAB EAST, 4403 IROQUOIS AVE, ERIE, PA 16511
(814) 877-7078
(814) 899-5484
Mailing address
717 STATE ST, SUITE 16, ERIE, PA 16501-1341
(814) 480-7100
(814) 480-7604
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT011745L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026411501
UNIVERA
NY
05
—
0018836830005
—
PA
01
—
1361069
BLUE SHIELD
PA
01
—
P00170264
RR MEDICARE
PA
Enumeration date
07/14/2005
Last updated
05/09/2008
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