SearchPennsylvaniaPhysical Therapy Assistant

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 Services
Inferred 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