Individual
ANDREW ROGER BAYAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 N WASHINGTON ST, WAKARUSA, IN 46573-9590
(574) 862-4511
Mailing address
11065 GOLDEN PHEASANT DR, OSCEOLA, IN 46561-8511
(574) 607-7473
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
06001452A
IN
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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