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1356685713
TOMASZ ZYWICKI
BOISE, ID
NPI
1356685713
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ID PTA-2556)
Enumeration Date
2012-11-23
Last Update Date
2012-11-23
Business Address
-- TOMASZ ZYWICKI PTA
1419 S EMPIRE WAY
BOISE, ID 83709-2128
Phone number: 208-284-0619
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Mailing Address
-- TOMASZ ZYWICKI PTA
1419 S EMPIRE WAY
BOISE, ID 83709-2128
Phone number:
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