Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | 8807 | MA |
NPI | 1043546401 |
---|---|
Provider Name | Zbigniew Paluch |
First Address | Springfield, MA 01108-1407 |
Second Address | Springfield, MA 01108-1407 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2009 |
Last Update Date | 20/10/2009 |