MEDICARE: DR. PAUL SIENKIEWICH 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	3119656	TX

General Provider Information

NPI Number	:	1942651302
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL SIENKIEWICH DPT

Provider Business Mailing Address
First Line	:	2700 E ELDORADO PKWY
Second Line	:	SUITE 409
City	:	LITTLE ELM
State	:	TX
Zip	:	75068-5999
Country	:	US
Telephone Number	:	972-987-4023
Fax Number	:

Provider Business Practice Location Address
First Line	:	2700 E ELDORADO PKWY
Second Line	:	SUITE 409
City	:	LITTLE ELM
State	:	TX
Zip	:	75068-5999
Country	:	US
Telephone Number	:	972-987-4023
Fax Number	:

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

Provider Enumeration Date	:	06/28/2016
Last Update Date	:	06/28/2016

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