SearchIdaho225200000X

Tomasz Zywicki, PTA

NPI 1356685713 · on the registry since 2012 · sole proprietor

Practice

Address
1419 S Empire Way
Boise, ID 83709
Phone
(208) 284-0619

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-11-23

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 Idaho