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Individual

GENOWEFA MARCINKIEWICZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
10969 SE 175TH PL, SUMMERFIELD, FL 34491-0902
(352) 347-8877
(352) 347-9477
Mailing address
10969 SE 175TH PL, SUMMERFIELD, FL 34491-0902
(352) 347-8877
(352) 347-9477

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA20192
FL

Other

Enumeration date
04/10/2007
Last updated
07/08/2007
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