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NPI Code Detail

MEDICARE: RYAN KAPROWSKI PTA

MEDICARE: RYAN KAPROWSKI PTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy AssistantTE009611PA

General Provider Information

NPI Number : 1083043467
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN KAPROWSKI PTA
Provider Business Mailing Address
First Line : 421 1ST ST
Second Line :
City : PLYMOUTH
State : PA
Zip : 18651-1617
Country : US
Telephone Number : 570-239-4682
Fax Number :
Provider Business Practice Location Address
First Line : 401 HAZLE TOWNSHIP BLVD
Second Line : 403 HAZLE TOWNSHIP BLVD
City : HAZLE TOWNSHIP
State : PA
Zip : 18202-9661
Country : US
Telephone Number : 570-454-8888
Fax Number : 570-459-9252
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/05/2013
Last Update Date : 11/05/2013

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Directions to “ RYAN KAPROWSKI PTA” Practice Location

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