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NPI Code Detail

MEDICARE: ARKADIUSZ ANDRZEJ SOLAWA DPT

MEDICARE: ARKADIUSZ ANDRZEJ SOLAWA 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
1225100000XPhysical TherapistPTL.0016501CO

General Provider Information

NPI Number : 1699321695
Entity Type Code : Individual
Provider Name (Legal Business Name) : ARKADIUSZ ANDRZEJ SOLAWA DPT
Provider Business Mailing Address
First Line : 12607 ZUNI ST APT 206
Second Line :
City : BROOMFIELD
State : CO
Zip : 80020-3822
Country : US
Telephone Number : 847-529-1821
Fax Number :
Provider Business Practice Location Address
First Line : 400 S COLORADO BLVD STE 640
Second Line :
City : GLENDALE
State : CO
Zip : 80246-1239
Country : US
Telephone Number : 303-320-4450
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2019
Last Update Date : 08/15/2019

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