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Vitaliy Kostyukov
NPI 1235690314 · on the registry since 2019
Practice
- Address
- 660 N Broad St
Lansdale, PA 19446 - Phone
- (215) 361-5600
- Organisation at this address
- Elm Terrace Gardens
Genesis Rehab ServicesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 20
Registry record
- Primary taxonomy
- Physical Therapy Assistant
225200000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-03-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania