VITALIY KOSTYUKOV

LANSDALE, PA
NPI1235690314
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: PA  TE011703)
Enumeration Date2019-03-29
Last Update Date2019-03-29
Business Address
VITALIY KOSTYUKOV
660 N BROAD ST
LANSDALE, PA 19446-2361
Phone number: 215-361-5600
Mailing Address
VITALIY KOSTYUKOV
660 N BROAD ST
LANSDALE, PA 19446-2361
Phone number: 215-361-5600
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