Individual
DR. MARK NIMCHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
3251 CEDAR ST, PHILADELPHIA, PA 19134-4514
(215) 427-2242
(215) 427-2433
Mailing address
133 W HUNTING PARK AVE, PHILADELPHIA, PA 19140-2717
(215) 455-5370
(215) 455-5374
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PT010940L
PA
Other
Enumeration date
10/02/2008
Last updated
07/05/2016
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