TIMOTHY WILLIAM PIECZARA

WAUWATOSA, WI
NPI1407492358
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI  3124-39)
Additional Taxonomies146N00000X Emergency Medical Technician, Basic
(Licence: PA  0966488)
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2019-11-25
Last Update Date2023-09-26
Business Address
TIMOTHY WILLIAM PIECZARA MS, LAT, ATC, EMT
11011 W NORTH AVE APT 119
WAUWATOSA, WI 53226-2275
Phone number: 724-809-7968
Mailing Address
TIMOTHY WILLIAM PIECZARA MS, LAT, ATC, EMT
11011 W NORTH AVE APT 119
WAUWATOSA, WI 53226-2275
Phone number: 724-809-7968
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