Kotlarczyk, Justin Mark

Kotlarczyk, Justin Mark is an individual health care provider with primary practice located at 2722 Manatee Ave W Suite 2, Bradenton FL 34205-4945. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Kotlarczyk, Justin Mark can be contacted via phone (941) 744-9046.

Contact Information

Primary practice address
2722 Manatee Ave W Suite 2 Bradenton FL 34205-4945
Phone: (941) 744-9046
Fax: (941) 744-9046
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT21555 Florida

Profile Details

NPI number 1649255852
LBN Legal business name Kotlarczyk, Justin Mark
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated Aug 10th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649255852 NPPES
Florida Other Y060C BCBS

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