MEDICARE: ALINA KULCZYCKI PT, DPT.

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
1	225100000X	Physical Therapist	116160	TX

General Provider Information

NPI Number	:	1659511756
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALINA KULCZYCKI PT, DPT.

Provider Business Mailing Address
First Line	:	9518 WAHADA AVE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78217-5033
Country	:	US
Telephone Number	:	210-563-1070
Fax Number	:

Provider Business Practice Location Address
First Line	:	9518 WAHADA AVE
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78217-5033
Country	:	US
Telephone Number	:	210-563-1070
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2009
Last Update Date	:	02/29/2024

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