Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WITOLD JAN MIERZWA, PT
ActiveWITOLD JAN MIERZWA, PT is a Physical Therapy Assistant healthcare provider located in MERRIONETTE PARK, Illinois. NPI 1730254004 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · MERRIONETTE PARK, IL
Registration Details
- NPI Number
- 1730254004
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 22, 2006 (19.733397653766 yrs)
- Last Updated
- Jul 8, 2007
Practice Information
- Address
-
11600 S KEDZIE AVESUITE KMERRIONETTE PARK, IL, 60803Browse IL providers · Browse ZIP 60803
- Phone
- 7083716441
- Fax
- 7083716429
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.